Khadijah Imani Chappell, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

3651560 Issued in OH

Practice address

2819 W 8TH Street
Cinti, OH 45204

Phone

(513) 687-7934

NPI assigned

Dec 24, 2009

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

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.

• Imani Health Systems Incorporated

  • Home Health Agency
  • Ellenwood, GA
  • NPI 1538833207
  NPD Authorized official

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1447589338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 W 8TH STREET",
            "city": "CINTI",
            "state": "OH",
            "postal_code": "45204",
            "telephone_number": "513-687-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 W 8TH STREET",
            "city": "CINTI",
            "state": "OH",
            "postal_code": "45204",
            "telephone_number": "513-687-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "KHADIJAH",
        "middle_name": "IMANI",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "3651560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas G Auvil, MD
• Felicia Betts
• Jamesetta Booker
• Jessy Burns, MA CCC SLP
• Cincinnati Oral & Maxillofacial Surg. Inc.
• Donna Marie Conner
• Ann Marie C Fix, MD
• Forest Hills Pediatrics LLC
• James Douglass Gray, R.N.

• Nurse's Aide in Cinti, OH
• Providers in Cinti, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.