Active NPI
Chancie D Holcombe, CNM
- Midwife
- Syracuse, NY
National Provider Identifier
1497596043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 002304
- Practice address
- 301 Prospect Ave Ste 706
Syracuse, NY 13203-1807 - Phone
- (315) 703-5200
- NPI assigned
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 941907 | NY | |
| Midwife | 176B00000X | 002304 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave Ste 706
Syracuse, NY 13203-1807
Mailing address
115 W 8TH St
Oswego, NY 13126-1409
Phone (904) 502-9822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 941907 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Pathology, PC | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital Health Center | Current | Accepting new patients | |
| St Josephs Medical PC | Past | Accepting new patients |
Locations
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876
Interoperability endpoints
- cholcombe3859142@direct.trinity-health.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Obstetrics & Gynecology Physician
- Ithaca, NY
- NPI 1437229945
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1497596043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 8TH ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261409",
"telephone_number": "904-502-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE STE 706",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-703-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMBE",
"first_name": "CHANCIE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "941907",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "002304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.