Courtney Deshae Chambliss

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA304855 Issued in FL

Practice address

1820 Woodland Cir # 1-104
Vero Beach, FL 32967-2004

Phone

(772) 453-3900

NPI assigned

Apr 8, 2016

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

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1447614151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WOODLAND CIR # 1-104",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329672004",
            "telephone_number": "772-453-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WOODLAND CIR # 1-104",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329672004",
            "telephone_number": "772-453-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS",
        "first_name": "COURTNEY",
        "middle_name": "DESHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA304855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Elizabeth Cepeda, MSW
• Certified Foot & Ankle Specialists
• James A Cesiro Sr., HAS BC/HIS
• Ramanuj Chakravarty, M.D.
• Cole Chambers
• Elizabeth Ann Chandler
• Keely Davis Chandler, APRN-FNP
• Erin Chappelear
• Charles J Bartkus DC PA
• Charles M. Callahan, M.D. P.a.

• Nurse's Aide in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.