NPIMap

Organization Active NPI

Marlene a. Chelso, Aprn

  • Licensed Practical Nurse
  • Brookfield, CT
National Provider Identifier
1265840177
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
001752 Issued in CT
Legal business name
MARLENE A. CHELSO, APRN
Practice address
127 Tower Rd
Brookfield, CT 06804-3654
Phone
(203) 775-9484
NPI assigned
Jul 24, 2014
Last updated
Jul 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Marlene A Chelso, APRNNPI 1780755769
Title
Owner
Phone
(203) 775-9484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 001752 CT Primary

Addresses

Primary practice location

127 Tower Rd
Brookfield, CT 06804-3654

Mailing address

127 Tower Rd
Brookfield, CT 06804-3654
Phone (203) 775-9484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1265840177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 TOWER RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043654",
            "telephone_number": "203-775-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 TOWER RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043654",
            "telephone_number": "203-775-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE A. CHELSO, APRN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "CHELSO",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-775-9484",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "001752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.