Jenna Chanel Chaffee

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN199645 Issued in AZ

Practice address

2128 E Knoll Cir
Mesa, AZ 85213-2208

Phone

(480) 532-1216

NPI assigned

Sep 2, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1386479236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 E KNOLL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852132208",
            "telephone_number": "480-532-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 E KNOLL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852132208",
            "telephone_number": "480-532-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFEE",
        "first_name": "JENNA",
        "middle_name": "CHANEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN199645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Cervi-Skinner, MD
• Susan Cestaro-Smith, P.T.
• Ovidia Chacon Fierro, PT, DPT
• Chad M Cravatta DMD Ms PLLC
• Hyeyun Chae
• Patti Kate Chagolla, MSW
• Jennifer Elizabeth Chaillie, LMSW
• Chajoy House LLC
• Ashimava Chakladar, MD
• Rebecca Chalke, LAC

• Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.