Kathy A Chapin

Key facts

NPI

1295097186

Entity type

Individual (NPI type 1)

Primary specialty

Specialist 174400000X

License

750606 (NY)

Practice address

504 Southwoods Dr
Monticello, NY 12701-7231

Phone

(845) 794-6037

NPI assigned

Jun 15, 2012

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Best Friends Services Inc Early Intervention Provider Agency · Monticello, NY · NPI 1710130745
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2012.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1295097186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KELLY AVENUE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SOUTHWOODS DR",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127017231",
            "telephone_number": "845-794-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "KATHY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "750606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Monticello, NY · Specialist in New York