Individual provider Active NPI

Chantalle D Rahaman, CRNA

  • Certified Registered Nurse Anesthetist
  • Uvalde, TX
National Provider Identifier
1295718872
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
536878 Issued in TX
Practice address
1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone
(830) 278-6251
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 536878 TX Primary

Addresses

Primary practice location

1025 Garner Field Rd
Uvalde, TX 78801-4809

Mailing address

601 Cenizo Blvd
Uvalde, TX 78801-4008
Phone (830) 486-0596

Other identifiers 2

IdentifierTypeStateIssuer
83642UOtherTXBCBSTX
132821310MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001191 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537058904 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uvalde County Hospital AuthorityGroup PAC ID 7315832722, 26 clinicians

Practice addresses (Care Compare)

1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone 83027862511257

Hospital & facility affiliations

  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
36440TXMDSpeech-Language Assistant
536878TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde County Hospital Authority CurrentSince Aug 24, 2002 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
Uvalde County Hospital Authority CurrentSince Aug 24, 2002 Accepting new patients
Jourdanton Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

7909 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 437-0884

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1295718872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CENIZO BLVD",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014008",
            "telephone_number": "830-486-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 GARNER FIELD RD",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014809",
            "telephone_number": "830-278-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAMAN",
        "first_name": "CHANTALLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "536878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "83642U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132821310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.