Individual provider Active NPI

Chasidy Gilbreath, BSN

  • Registered Nurse
  • Oklahoma City, OK
National Provider Identifier
1487103032
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
103910 Issued in OK
Practice address
5834 Hefner Village Cir
Oklahoma City, OK 73162-7756
Phone
(405) 535-2800
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 103910 OK Primary
Registered Nurse 163W00000X RN2301433 MA

Addresses

Primary practice location

5834 Hefner Village Cir
Oklahoma City, OK 73162-7756

Mailing address

5834 Hefner Village Cir
Oklahoma City, OK 73162-7756

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN2301433MAMDRegistered Nurse
103910OKMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1487103032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 HEFNER VILLAGE CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731627756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 HEFNER VILLAGE CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731627756",
            "telephone_number": "405-535-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBREATH",
        "first_name": "CHASIDY",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "103910",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2301433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.