Active NPI
Chanin Flynn, APRN
- Gerontology Nurse Practitioner
- Ashland, KY
National Provider Identifier
1184934689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 3006864
- Practice address
- 2201 Lexington Ave
Ashland, KY 41101 - Phone
- (606) 408-4000
- Fax
- (606) 408-6825
- NPI assigned
- Oct 18, 2010
- Last updated
- Feb 22, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3006864 | KY | |
| Acute Care Nurse Practitioner | 363LA2100X | 3006864 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3006864 | KY | |
| Gerontology Nurse Practitioner | 363LG0600X | 3006864 | KY | Primary |
| Occupational Health Nurse Practitioner | 363LX0106X | 69787 | WV |
Addresses
Primary practice location
2201 Lexington Ave
Ashland, KY 41101
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other practice location 1
1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100230950 | Medicaid | KY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006864 | KY | MD | Gerontology Nurse Practitioner |
| 69787 | WV | MD | Occupational Health Nurse Practitioner |
Interoperability endpoints
- cflynn5739@direct.kdhealth.us
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1184934689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2379",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052379",
"telephone_number": "606-408-6200",
"fax_number": "606-408-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 LEXINGTON AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41101",
"telephone_number": "606-408-4000",
"fax_number": "606-408-6825"
}
],
"practiceLocations": [
{
"address_1": "1340 Hal Greer Blvd",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257013800",
"country_code": "US",
"telephone_number": "304-526-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLYNN",
"first_name": "CHANIN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3006864",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3006864",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006864",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "3006864",
"primary": true
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "WV",
"license": "69787",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100230950",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.