Individual provider Active NPI

Renata D Chatman

  • Women's Health Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1285276618
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
904972 Issued in MS
Practice address
715 S Pear Orchard Rd
Ridgeland, MS 39157-4807
Phone
(769) 990-3441
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 909925 MS
Women's Health Nurse Practitioner 363LW0102X 904972 MS Primary

Addresses

Primary practice location

715 S Pear Orchard Rd
Ridgeland, MS 39157-4807

Mailing address

715 S Pear Orchard Rd
Ridgeland, MS 39157-4807
Phone (769) 990-3441

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

State licenses

LicenseStateTypeSpecialty
909925MSMDRegistered Nurse
904972MSMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: renata.chatman.1@31723.direct.athenahealth.com
  • Direct secure messaging: renata.chatman.1@28825.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1285276618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S PEAR ORCHARD RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574807",
            "telephone_number": "769-990-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S PEAR ORCHARD RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574807",
            "telephone_number": "769-990-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "RENATA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "909925",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "904972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.