NPIMap

Individual provider Active NPI

Chastity Rochelle Aubuchon, FNP

  • Family Nurse Practitioner
  • O'Fallon, MO
National Provider Identifier
1225402860
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015040588 Issued in MO
Practice address
207 E Pitman St
O Fallon, MO 63366-2620
Phone
(636) 875-1140
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015040588 MO Primary

Addresses

Primary practice location

207 E Pitman St
O Fallon, MO 63366-2620

Mailing address

207 E Pitman St
O Fallon, MO 63366-2620
Phone (636) 875-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410001804 FL Practitioner - Nurse Practitioner 5698016186 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care House Calls PAGroup PAC ID 8325263270, 14 clinicians
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3091
Phone (850) 934-5713

29399 US Hwy 19 N
Suite 150
Clearwater, FL 33761-2191
Phone (551) 295-8223

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015040588MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care House Calls PA Family CurrentSince Jan 1, 2019 Accepting new patients
Little Flower Family Medicine, LLC PastSince Oct 2, 2022 Accepting new patients

Locations

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 313-9046

3416 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 565-9639

Interoperability endpoints

  • Direct secure messaging: chastity.aubuchon.1@30358.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1225402860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E PITMAN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662620",
            "telephone_number": "636-875-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E PITMAN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662620",
            "telephone_number": "636-875-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBUCHON",
        "first_name": "CHASTITY",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015040588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.