Tiparpa Chitasombat, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

R1307223 Issued in MN

Practice address

451 North Dunlap Street
Mail Stop 32700a
St Paul, MN 55104-4621

Phone

(651) 999-4700

Fax

(651) 999-4781

NPI assigned

Oct 24, 2006

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

Other names 1

• Tiparpa Rungseevong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417030081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 34TH AVE S",
            "address_2": "21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251672",
            "telephone_number": "952-883-5463",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 NORTH DUNLAP STREET",
            "address_2": "MAIL STOP 32700A",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551044621",
            "telephone_number": "651-999-4700",
            "fax_number": "651-999-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITASOMBAT",
        "first_name": "TIPARPA",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "R1307223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIPARPA",
            "last_name": "RUNGSEEVONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Christopher Michael Chmiel
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• Coree Chodek

• Clinical Nurse Specialist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.