Active NPI
Daylene Chandler, MS, ATC
- Athletic Trainer
- Arkadelphia, AR
National Provider Identifier
1386702454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 241
- Practice address
- 410 Ouachita St
Obu Box 3732
Arkadelphia, AR 71998-0001 - Phone
- (870) 245-4187
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 8, 2011
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 241 | AR | Primary |
Addresses
Primary practice location
410 Ouachita St
Obu Box 3732
Arkadelphia, AR 71998-0001
Mailing address
18798 E 52ND Ave
Denver, CO 80249-8290
Phone (720) 363-2450
Other names 1
- Daylene Chandler
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 241 | AR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1386702454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18798 E 52ND AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802498290",
"telephone_number": "720-363-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 OUACHITA ST",
"address_2": "OBU BOX 3732",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719980001",
"telephone_number": "870-245-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "DAYLENE",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "AT 241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAYLENE",
"last_name": "CHANDLER",
"credential": "MS, ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.