Active NPI
Fnu Chandra Kiran
- Occupational Therapist
- Houston, TX
National Provider Identifier
1295299865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119029
- Practice address
- 1424 Fallbrook Dr
Houston, TX 77038-1846 - Phone
- (346) 754-5070
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 119029 | TX | Primary |
Addresses
Primary practice location
1424 Fallbrook Dr
Houston, TX 77038-1846
Mailing address
1424 Fallbrook Dr
Houston, TX 77038-1846
Phone (346) 754-5070
Other practice location 1
4011 Randolph Rd
Silver Spring, MD 20902-1054
Phone (301) 933-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447657507 | Other | MD | NPI TYPE 2/ORGANIZATION NPI |
| 4374045-00 | Medicaid | MD | |
| 337361 | Other | MD | MEDICARE PIN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119029 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1295299865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770381846",
"telephone_number": "346-754-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770381846",
"telephone_number": "346-754-5070"
}
],
"practiceLocations": [
{
"address_1": "4011 Randolph Rd",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209021054",
"country_code": "US",
"telephone_number": "301-933-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANDRA KIRAN",
"first_name": "FNU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2024-01-03",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2/ORGANIZATION NPI",
"identifier": "1447657507",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4374045-00",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "337361",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.