Delicia Ann Chisholm, ATP

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

118 S Park Dr Ste a
Brownwood, TX 76801-5957

Phone

(325) 643-3290

Fax

(325) 643-3295

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1437611449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S PARK DR STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015957",
            "telephone_number": "325-643-3290",
            "fax_number": "325-643-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S PARK DR STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015957",
            "telephone_number": "325-643-3290",
            "fax_number": "325-643-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "DELICIA",
        "middle_name": "ANN",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• City of Brownwood (City of Brownwood Senior Citizens Center)
• City of Brownwood (Brownwood/Brown County Health Department)
• Kevin Dwayne Clardy, D.D.S.
• Clayton Cleveland, PHARMD

• Other Technician in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.