Individual provider Active NPI

Chantel Nikou Starnes I, COTA

  • Occupational Therapy Assistant
  • Mooresville, IN
National Provider Identifier
1508230087
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32002539A Issued in IN
Practice address
12524 N Woodlawn Dr
Mooresville, IN 46158-6177
Phone
(317) 614-5717
NPI assigned
Nov 20, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32002539A IN Primary

Addresses

Primary practice location

12524 N Woodlawn Dr
Mooresville, IN 46158-6177

Mailing address

12524 N Woodlawn Dr
Mooresville, IN 46158-6177

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
32002539AINMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1508230087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12524 N WOODLAWN DR",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461586177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12524 N WOODLAWN DR",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461586177",
            "telephone_number": "317-614-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARNES",
        "first_name": "CHANTEL",
        "middle_name": "NIKOU",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002539A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.