Susan P Chasson, APRN/CNM

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

219067-4402 Issued in UT

Practice address

475 West 940 North
Provo, UT 84604

Phone

(801) 357-7930

Fax

(801) 357-7014

NPI assigned

Oct 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1265518633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WEST 940 NORTH",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-357-7930",
            "fax_number": "801-357-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WEST 940 NORTH",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-357-7930",
            "fax_number": "801-357-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASSON",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "APRN/CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "219067-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "219067-4402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942854058788-D5889",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Anne King Charles, M.S. CCC-SLP
• Haley Kate Charlesworth, RBT
• Cade Charlton, RBT
• Danielle Chase
• Stefan Chase, CSW
• Summer Chatfield
• Spencer Allen Chatland
• Carlos Alberto Chavez Alcala
• Andrea Chavez, FNP
• Rodney A Cheal, MD

• Nurse Practitioner in Provo, UT
• Providers in Provo, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.