Adrienne M Chagoly, RN,CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

690975 Issued in TX

Practice address

1221 W Ben White Blvd Ste 200B
Austin, TX 78704-7002

Phone

(512) 443-8500

Fax

(512) 443-2805

NPI assigned

Jan 23, 2007

Last updated

Oct 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Venkatesh Segu, MD, PA

  dba Capital Endocrine & Diabetes

  • Endocrinology, Diabetes & Metabolism Physician
  • Cedar Park, TX
  • NPI 1104264993
  Medicare reassignment
• Williamson Pain Institute PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Cedar Park, TX
  • NPI 1528599370
  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1366597304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 MEDICAL PARKWAY",
            "address_2": "SUITE 330",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137900",
            "telephone_number": "512-765-7806",
            "fax_number": "512-456-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 200B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047002",
            "telephone_number": "512-443-8500",
            "fax_number": "512-443-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGOLY",
        "first_name": "ADRIENNE",
        "middle_name": "M",
        "credential": "RN,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "690975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caileigh Chadwick, LCSW
• Chafer Solutions LLC (Homewatch CareGivers of Southwest Austin)
• Dara Chaffin, PHARMD
• Edward Robert Chafizadeh, M.D.
• Kathryn Ann Chafizadeh, RNFA
• Marisa L Chagoya, M.D.
• Tira Chaicha-Brom, M.D.
• Erin Chaires
• Mridul Chakarvarty, DDS
• Ipsita Chakrabarti, BCBA

• Adult Health Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.