Nancy Henderson Chaffee, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30096 Issued in AZ

Practice address

307 S 13TH St
Suite 200
Mount Vernon, WA 98274-4100

Phone

(360) 848-8500

Fax

(360) 419-3700

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nancy Lee Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Nooksack Central Management System

  • Family Medicine Physician
  • Everson, WA
  • NPI 1568528842
  NPD (past)
• VA Puget Sound Health Care System

  • VA Clinic/Center
  • Mount Vernon, WA
  • NPI 1275707812
  NPD (past)

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1467604231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST",
            "address_2": "SUITE 200",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-848-8500",
            "fax_number": "360-419-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST",
            "address_2": "SUITE 200",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-848-8500",
            "fax_number": "360-419-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFEE",
        "first_name": "NANCY",
        "middle_name": "HENDERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30096",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "25240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HENDERSON",
            "middle_name": "LEE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Julieta Centeno, SLP-A
• Mario V Cerpa, MD
• Juan Enrique Cerrillo, SUDP
• Nicolas Cervantes, INTERPRETER
• Annushka Cesan, ARNP
• Frances T. Chalmers, M.D.
• Katy Chamberlain, LMP, CCT
• Kelsey Rae Chambers, CNM
• Albert Chan
• Douglas Chandler, MSW

• Internal Medicine Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.