Active NPI
Roberta Chapman
- Registered Nurse
- Malone, NY
National Provider Identifier
1184764516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 167826
- Practice address
- 3066 State Route 11 Ste 4
Malone, NY 12953-4732 - Phone
- (518) 483-6205
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 167826 | NY | Primary |
Addresses
Primary practice location
3066 State Route 11 Ste 4
Malone, NY 12953-4732
Mailing address
PO Box 580
Long Lake, NY 12847-0580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167826 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184764516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580",
"city": "LONG LAKE",
"state": "NY",
"postal_code": "128470580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3066 STATE ROUTE 11 STE 4",
"city": "MALONE",
"state": "NY",
"postal_code": "129534732",
"telephone_number": "518-483-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "ROBERTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "167826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.