Casandra Grace Chapman-Corey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

140427 Issued in NC

Practice address

2832 Kimmon Way
Wake Forest, NC 27587-5442

Phone

(919) 435-8966

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1336348689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 KIMMON WAY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 KIMMON WAY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875442",
            "telephone_number": "919-435-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN-COREY",
        "first_name": "CASANDRA",
        "middle_name": "GRACE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "140427",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "145658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400623753A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Champion Healthcare Services
• Serenity Marie Chandler, PTA
• Changing Communities
• Kianna Lasha' Chapman
• Alison Green Charchar, ATR
• Olivier Henri Chassin, DPT
• Mirelle Chateigne
• Omad Chaudhary

• Family Nurse Practitioner in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.