Kamiyal Shavondar Chambers, NA
Individual provider Active NPI Nurse's Aide · Charlotte, NC
NPI 1477123701 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1477123701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 330338 (NC)
- Practice address
- 7701 Creekridge Rd Apt 1005
Charlotte, NC 28212-0175 - Phone
- (980) 447-3070
- Fax
- (704) 448-2080
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330338 | NC | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aa & Q Transportation Inc, | Current |
Accepting new patients |
Locations
4919 Albemarle Rd
Ste 105
Charlotte, NC 28205
Phone (980) 447-3070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 330338 | NC | Yes |
Addresses
Primary practice location
7701 Creekridge Rd Apt 1005
Charlotte, NC 28212-0175
Mailing address
4919 Albemarle Rd Ste 105
Charlotte, NC 28205-6653
Phone (980) 447-3070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-1626733 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kamiyalchambers75@gmail.com | Direct |
Other providers in Charlotte, NC
- Carroll L. Chambers Jr.
- Ebony Chambers
- Evan Paige Chambers
- Gregory Scott Chambers
- Joseph Todd Chambers
- Kiara Chambers
- Territa L Chambers
- Zierra Shayla Chambers
- Ashton Saleeby Chamblee
- Whitney Danyele Chamblee
All providers in Charlotte, NC · Nurse's Aide in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.