Individual provider Active NPI

Terance CHI

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1225367402
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
169893 Issued in WI
Practice address
1672 S 9TH St
Milwaukee, WI 53204-3426
Phone
(414) 645-9711
Fax
(414) 645-9211
NPI assigned
Dec 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9139 WI
Registered Nurse 163W00000X 169893 WI Primary

Addresses

Primary practice location

1672 S 9TH St
Milwaukee, WI 53204-3426

Mailing address

235 Southtowne Dr Apt D203
S Milwaukee, WI 53172-4145
Phone (414) 793-7189

Other practice location 1

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190528002667 WI Practitioner - Nurse Practitioner 4688917057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169893WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Doctors Inc CurrentSince Apr 21, 2019 Accepting new patients
Paramount Family Clinic, LLC Family Current Accepting new patients

Locations

1672 S 9th St
Milwaukee, WI 53204
Phone (414) 389-1539

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1225367402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SOUTHTOWNE DR APT D203",
            "city": "S MILWAUKEE",
            "state": "WI",
            "postal_code": "531724145",
            "telephone_number": "414-793-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043426",
            "telephone_number": "414-645-9711",
            "fax_number": "414-645-9211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-805-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHI",
        "first_name": "TERANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9139",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "169893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.