Active NPI
Helen K Chung-Hussain, DO
- Family Medicine Physician
- Brentwood, TN
National Provider Identifier
1184873887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO0000002579
- Practice address
- 782 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4574 - Phone
- (615) 371-1619
- Fax
- (615) 371-8420
- NPI assigned
- Sep 17, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 254806 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO0000002579 | TN | Primary |
Addresses
Primary practice location
782 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4574
Mailing address
782 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4574
Phone (615) 371-1619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03359166 | Medicaid | NY |
Other names 1
- Helen K Chung
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO0000002579 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404604800000",
"number": "1184873887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "782 OLD HICKORY BLVD STE 203",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274574",
"telephone_number": "615-371-1619",
"fax_number": "615-371-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 OLD HICKORY BLVD STE 203",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274574",
"telephone_number": "615-371-1619",
"fax_number": "615-371-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG-HUSSAIN",
"first_name": "HELEN",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2014-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "254806",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO0000002579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03359166",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HELEN",
"last_name": "CHUNG",
"middle_name": "K",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.