Active NPI
Amy Susan Choffin, M.S. OTR/L
- Community Health Worker
- Charlotte, NC
National Provider Identifier
1316123813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 2818
- Practice address
- 10422 Breamore Dr
Charlotte, NC 28270-2511 - Phone
- (704) 846-2627
- NPI assigned
- Jan 14, 2008
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2818 | NC | Primary |
Addresses
Primary practice location
10422 Breamore Dr
Charlotte, NC 28270-2511
Mailing address
10422 Breamore Dr
Charlotte, NC 28270-2511
Phone (704) 846-2627
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2818 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1316123813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10422 BREAMORE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702511",
"telephone_number": "704-846-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10422 BREAMORE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702511",
"telephone_number": "704-846-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOFFIN",
"first_name": "AMY",
"middle_name": "SUSAN",
"credential": "M.S. OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NC",
"license": "2818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.