Individual provider Active NPI

Chandelle Thomas

  • Registered Nurse
  • Nanuet, NY
National Provider Identifier
1487160628
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
834620 Issued in NY
Practice address
20 Old Turnpike Rd
Nanuet, NY 10954-2532
Phone
(845) 624-0260
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 323720 NY
Registered Nurse 163W00000X 834620 NY Primary

Addresses

Primary practice location

20 Old Turnpike Rd
Nanuet, NY 10954-2532

Mailing address

14 Academy St
Beacon, NY 12508-3102

Other practice location 1

20 Old Turnpike Rd
Nanuet, NY 10954-2532
Phone (845) 624-0260

Other practice location 2

20 Old Turnpike Rd
Nanuet, NY 10954-2532
Phone (845) 624-0260

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
834620NYMDRegistered Nurse
323720NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Accucare Nursing Licensed Practical Nurse Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1487160628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ACADEMY ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD TURNPIKE RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542532",
            "telephone_number": "845-624-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Old Turnpike Rd",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542532",
            "country_code": "US",
            "telephone_number": "845-624-0260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Old Turnpike Rd",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542532",
            "country_code": "US",
            "telephone_number": "845-624-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHANDELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323720",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "834620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.