Active NPI
Kiandria Nicole Chapman, RN
- Registered Nurse
- Wauwatosa, WI
National Provider Identifier
1265539159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 141360 - 30
- Practice address
- 12250 W North Ave Apt 222 BLDG a-
Wauwatosa, WI 53226-2066 - Phone
- (414) 476-5303
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 141360 - 30 | WI | Primary |
Addresses
Primary practice location
12250 W North Ave Apt 222 BLDG a-
Wauwatosa, WI 53226-2066
Mailing address
10126 W Capitol Dr
Milwaukee, WI 53222-1320
Phone (414) 438-1848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38315600 | Medicaid | WI |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141360 - 30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265539159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10126 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221320",
"telephone_number": "414-438-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12250 W NORTH AVE APT 222 BLDG A-",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262066",
"telephone_number": "414-476-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "KIANDRIA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "141360 - 30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38315600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
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.