Valarie M Chambless, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Canton, TX
NPI 1215423397 · NPPES record last updated Jun 29, 2024
Key facts
- NPI
- 1215423397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP137868 (TX)
- Practice address
- 301 E State Highway 243 Ste 121
Canton, TX 75103-2418 - Phone
- (903) 567-4692
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180816002798 | TX | Practitioner - Nurse Practitioner | 3476802919 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 764219 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Ut East Texas Urgent Care Centers, PLLC | Current |
Accepting new patients | |
| Happihealth Family Care, PLLC | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| East Texas Medical Center Healthcare Associates | Past | Accepting new patients |
Locations
1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725
301 E State Highway 243
Ste 121
Canton, TX 75103
Phone (903) 567-4692
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
5414 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-1601
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- vchambless914348@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 764219 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP137868 | TX | Yes |
Addresses
Primary practice location
301 E State Highway 243 Ste 121
Canton, TX 75103-2418
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 388025401 | Medicaid | TX | |
| 388025402 | Medicaid | TX | |
| 8JY051 | Other | TX | BCBS |
Other providers in Canton, TX
- Canton I S D
- Cantonhealthcare Center
- Yan Cao
- Sherill Ann Pagdanganan Carreon
- Carry on Mobile Physical Therapy PLLC
- Yidong Chen
- Milind Ranjit Chinoy
- Sarah Elizabeth Chitty
- Christus Trinity Clinic Texas
- Joni Coker
All providers in Canton, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.