Active NPI
Chaunce Dolan, RN
- Cardiac Rehabilitation Registered Nurse
- Meridian, ID
National Provider Identifier
1174020051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Registered Nurse
- License
- 34767
- Practice address
- 3525 E Louise Dr Ste 500
Meridian, ID 83642-6305 - Phone
- (208) 706-7050
- Fax
- (208) 706-7059
- NPI assigned
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | 34767 | ID | Primary |
Addresses
Primary practice location
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Mailing address
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Phone (208) 706-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34767 | ID | MD | Cardiac Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1174020051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 E LOUISE DR STE 500",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426305",
"telephone_number": "208-706-7050",
"fax_number": "208-706-7059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 E LOUISE DR STE 500",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426305",
"telephone_number": "208-706-7050",
"fax_number": "208-706-7059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "CHAUNCE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "ID",
"license": "34767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.