Individual provider Active NPI

Sherry Diane Chandler-Edgemon, RRT

  • Certified Respiratory Therapist
  • Grand Junction, CO
National Provider Identifier
1285962753
Registry record updated Nov 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
3219 Issued in CO
Practice address
2121 North Ave
NA
Grand Junction, CO 81501-6428
Phone
(970) 263-5062
Fax
(970) 244-7731
NPI assigned
Nov 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 25975 CA
Certified Respiratory Therapist 227800000X 3219 CO Primary
Registered Respiratory Therapist 227900000X 103237 CA

Addresses

Primary practice location

2121 North Ave
NA
Grand Junction, CO 81501-6428

Mailing address

314 Pine St
NA
Grand Junction, CO 81503-2045
Phone (970) 986-8520

Other names 1

  • Sherry Diane Chandler Other name

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
3219COMDCounseling Psychologist
103237CAMDDentist
25975CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1258848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258848000000",
    "number": "1285962753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 PINE ST",
            "address_2": "NA",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815032045",
            "telephone_number": "970-986-8520",
            "fax_number": "970-986-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NORTH AVE",
            "address_2": "NA",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016428",
            "telephone_number": "970-263-5062",
            "fax_number": "970-244-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER-EDGEMON",
        "first_name": "SHERRY",
        "middle_name": "DIANE",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-22",
        "last_updated": "2009-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "25975",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CO",
            "license": "3219",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "103237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "CHANDLER",
            "middle_name": "DIANE",
            "credential": "RRT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; 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.