Active NPI
Chelsea S Pine
- Peer Specialist
- Westerville, OH
National Provider Identifier
1356868038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 000321
- Practice address
- 904 Charleston Way Dr
Westerville, OH 43081-5591 - Phone
- (740) 751-5228
- NPI assigned
- Aug 24, 2017
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 000321 | OH | Primary |
Addresses
Primary practice location
904 Charleston Way Dr
Westerville, OH 43081-5591
Mailing address
904 Charleston Way Dr
Westerville, OH 43081-5591
Phone (740) 751-5228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356868038 | Medicaid | OH |
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 |
|---|---|---|---|
| 000321 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1356868038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 CHARLESTON WAY DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430815591",
"telephone_number": "740-751-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 CHARLESTON WAY DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430815591",
"telephone_number": "740-751-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINE",
"first_name": "CHELSEA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "000321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356868038",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.