Individual provider Active NPI

Sandra L. K. Chapman, N.P.

  • Adult Health Nurse Practitioner
  • South Euclid, OH
National Provider Identifier
1306950258
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.03319 Issued in OH
Practice address
1611 S Green Rd Ste 65
South Euclid, OH 44121-4129
Phone
(216) 553-5055
Fax
(216) 553-5057
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.03319 OH Primary
Nurse Practitioner 363L00000X NP-03319 OH

Addresses

Primary practice location

1611 S Green Rd Ste 65
South Euclid, OH 44121-4129

Mailing address

8055 Mayfield Rd Ste 105
Chesterland, OH 44026-2447

Other identifiers 1

IdentifierTypeStateIssuer
3012939MedicaidOH

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address sandrachapman@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address sandrachapman@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address sandrachapman@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address sandrachapman@uhps.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-03319OHMDNurse Practitioner
APRN.CNP.03319OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: schapman113965@direct.metrohealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1306950258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 MAYFIELD RD STE 105",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 65",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214129",
            "telephone_number": "216-553-5055",
            "fax_number": "216-553-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "SANDRA",
        "middle_name": "L. K.",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.03319",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-03319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012939",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandrachapman@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1611 S Green Rd Ste 65",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandrachapman@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1611 S Green Rd Ste 65",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandrachapman@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1611 S Green Rd Ste 65",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandrachapman@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1611 S Green Rd Ste 65",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.