Chandra M Nowlis, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2012037996 Issued in MO

Practice address

10448 Old Olive Street Rd Ste 200
Saint Louis, MO 63141-5927

Phone

(314) 597-8887

Fax

(314) 447-9559

NPI assigned

Nov 15, 2012

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)

Enrolled

State licenses

Practice roles

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

• Bodavula MD LLC

  • Clinic/Center
  • Creve Coeur, MO
  • NPI 1790183077
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1417291493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 OLD OLIVE STREET RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415927",
            "telephone_number": "314-597-8887",
            "fax_number": "314-447-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 OLD OLIVE STREET RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415927",
            "telephone_number": "314-597-8887",
            "fax_number": "314-447-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N New Ballas Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63141",
            "country_code": "US",
            "telephone_number": "314-786-2663",
            "fax_number": "314-279-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWLIS",
        "first_name": "CHANDRA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2012037996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nowak
• Kathryn Marie Nowak, R.D. L.D.
• Nicholas Charles Nowak, PHARMD
• Carly E Nowell, M.ED
• Terri L. Nowell, P.A.
• Thomas John Nowotny, MD
• Blakeslee E Noyes, MD
• Nra-South City, Missouri, LLC (South Towne Square Dialysis Clinic)
• Nra-St. Louis, Missouri, LLC (Forest Park Dialysis Clinic)
• Marie Nsudila, ACNP

• Adult Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.