Chaundel L Presley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6659 Issued in TN

Practice address

10427 New Hwy 52 West
Westmoreland, TN 37186

Phone

(615) 644-2000

Fax

(615) 644-2078

NPI assigned

Jan 11, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pine Ridge Indian Health Service Hospital

  dba Kyle Health Center

  • Clinic/Center
  • Kyle, SD
  • NPI 1003963497

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275683252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HIGHWAY 52 BYP W",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831728",
            "telephone_number": "615-688-2273",
            "fax_number": "615-688-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 NEW HWY 52 WEST",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "37186",
            "telephone_number": "615-644-2000",
            "fax_number": "615-644-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "CHAUNDEL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337255",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oldham Drugs, Incorporated
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• Kaitlin Pardo
• Amy Beth Parker, FNP-BC
• Amanda Brianne Perry, PA-C
• R-Evolution Health
• Byron L Reid, D.PH.
• Richard Maurice Reinsch, LPC-MHSP
• Laura L Rice, LCSW
• Rise and Bloom Counseling, PLLC

• Family Nurse Practitioner in Westmoreland, TN
• Providers in Westmoreland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.