Sabolil Chakraborty, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2018010381 Issued in MO

Practice address

4921 S Necessary CT
Blue Springs, MO 64015-2258

Phone

(785) 550-1136

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1437654035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 S NECESSARY CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152258",
            "telephone_number": "785-550-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 S NECESSARY CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152258",
            "telephone_number": "785-550-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRABORTY",
        "first_name": "SABOLIL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2018010381",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2018010381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerpoint Clinic of Blue Springs LLC
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• Central Jackson County Fire Protection District
• Central States Mental Health Consultants Inc
• Cerebrum, LLC
• Kelly Knetter Chamberlain, S-MFT
• Paul Chang, R.P.T.
• Devyn Chapman, DC
• Zachary Chapman, DC
• Tiffany Rachelle Chappell, RN

• All providers in Blue Springs, MO
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.