Active NPI
Nan Michele Chaet, MS, CCC-SLP
- Speech-Language Pathologist
- Ventura, CA
National Provider Identifier
1366689010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8425
- Practice address
- 36 Lincoln Dr
Ventura, CA 93001-3230 - Phone
- (805) 648-1015
- NPI assigned
- Jan 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8425 | CA | Primary |
Addresses
Primary practice location
36 Lincoln Dr
Ventura, CA 93001-3230
Mailing address
36 Lincoln Dr
Ventura, CA 93001-3230
Phone (805) 648-1015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110713000809 | CA | Practitioner - Qualified Speech Language Pathologist | 3476721689 | Practice locations: Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
36 Lincoln Dr
Ventura, CA 93001-3230
Phone (805) 340-1568
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8425 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232150400000",
"number": "1366689010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 LINCOLN DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013230",
"telephone_number": "805-648-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 LINCOLN DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930013230",
"telephone_number": "805-648-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAET",
"first_name": "NAN",
"middle_name": "MICHELE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-17",
"last_updated": "2009-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "8425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.