Active NPI
Patricia Chandler, MSN,RNC,WHNP
- Women's Health Nurse Practitioner
- St. Louis, MO
National Provider Identifier
1245344944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 109030
- Practice address
- 5701 Delmar Blvd.
St. Louis, MO 63112-0937 - Phone
- (314) 367-7848
- Fax
- (314) 367-2985
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 109030 | MO | Primary |
Addresses
Primary practice location
5701 Delmar Blvd.
St. Louis, MO 63112-0937
Mailing address
5701 Delmar Blvd.
St. Louis, MO 63112-0937
Phone (314) 367-7848
Other names 1
- Patricia Ford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109030 | MO | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245344944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 DELMAR BLVD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631120937",
"telephone_number": "314-367-7848",
"fax_number": "314-367-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 DELMAR BLVD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631120937",
"telephone_number": "314-367-7848",
"fax_number": "314-367-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "PATRICIA",
"credential": "MSN,RNC,WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "109030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "FORD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.