Hyunseock Chae

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

1012124 Issued in TX

Practice address

30 N Orange St Unit B207
Salt Lake City, UT 84116-3949

Phone

(801) 448-2069

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1225619034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N ORANGE ST UNIT B207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841163949",
            "telephone_number": "801-448-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N ORANGE ST UNIT B207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841163949",
            "telephone_number": "801-448-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "HYUNSEOCK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "1012124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Chacon, LCSW
• Tiffani C Chacon
• Ashley Thompson Chadwick
• Barbara Elizabeth Chadwick, M.D.
• Kayla Jean Chadwick
• Taylor Brynn Chafin, AUD
• Korak Chakraborti
• Suryanarayana Reddy Challa
• Anna Weinberg Chalmers, MD
• Chamberlain Counseling

• Licensed Practical Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Licensed Practical Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.