Individual provider Active NPI

Nathanael Rihard Chaney

  • Registered Nurse
  • Charleston, WV
National Provider Identifier
1467175968
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1159628 Issued in KY
Practice address
400 Tracy Way Ste 100
Charleston, WV 25311-1280
Phone
(304) 733-5010
NPI assigned
Sep 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1159628 KY Primary

Addresses

Primary practice location

400 Tracy Way Ste 100
Charleston, WV 25311-1280

Mailing address

400 Tracy Way Ste 100
Charleston, WV 25311-1280

Other practice location 1

2622 Algonquin Ave
Ashland, KY 41102-4519
Phone (606) 465-2511

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tablet

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1159628KYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1467175968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TRACY WAY STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TRACY WAY STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111280",
            "telephone_number": "304-733-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2622 Algonquin Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411024519",
            "country_code": "US",
            "telephone_number": "606-465-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "NATHANAEL",
        "middle_name": "RIHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1159628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tablet",
            "affiliation": "N",
            "address_1": "400 Tracy Way Ste 100",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253111280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.