Chelsey Thackston, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11008087 Issued in FL

Practice address

11701 San Jose Blvd Ste 108
Jacksonville, FL 32223-0756

Phone

(407) 984-7757

NPI assigned

Apr 16, 2021

Last updated

Apr 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hyperbaric Therapy of Jacksonville

  • Clinic/Center
  • Jacksonville, FL
  • NPI 1447898457
  NPD
• CHHP Holdings II, LLC

  dba Community Hospital of Huntington Park

  • General Acute Care Hospital
  • Huntington Park, CA
  • NPI 1891059127
  NPD
• CPH Hospital Management LLC

  dba Coast Plaza Hospital

  • General Acute Care Hospital
  • Norwalk, CA
  • NPI 1194016923
  NPD
• CPH Hospital Management LLC

  dba Coast Plaza Hospital

  • Psychiatric Hospital Unit
  • Norwalk, CA
  • NPI 1952012379
  NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1225619745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 SAN JOSE BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230756",
            "telephone_number": "407-984-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 SAN JOSE BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230756",
            "telephone_number": "407-984-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKSTON",
        "first_name": "CHELSEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@oxygenairtherapy.com",
            "affiliation": "N",
            "endpointDescription": "Facility e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11701 San Jose Blvd Ste 108",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322230756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Testing in Motion LLC
• Prabhu Dutt Tewari, MD
• Jermain McNeel Tezeno, OTR, PT
• Cheryl Nicole Thacker, AGPCNP-BC
• Corey Thacker
• Bidong Thai, MD
• Stacy Ann Thalassites, APRN
• Janette Thames, PSYD
• Kishore J. Thampy, M.D.
• Rita W Thanga

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.