Active NPI
Sylvie Jessie Chamberlin
- Occupational Therapist
- Manchester, NH
National Provider Identifier
1518152461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1001
- Practice address
- 59 Sheffield Rd
Manchester, NH 03103-2314 - Phone
- (603) 622-0909
- Fax
- (603) 622-2869
- NPI assigned
- Sep 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1001 | NH | Primary |
Addresses
Primary practice location
59 Sheffield Rd
Manchester, NH 03103-2314
Mailing address
59 Sheffield Rd
Manchester, NH 03103-2314
Phone (603) 622-0909
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13Y004084NH01 | Other | NH | ANTHEM BC/BS |
| 4130792 | Other | NH | MVP |
| 30412161 | Medicaid | NH | |
| 2948785 | Other | NH | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthways Family Practice LLC | 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.
-
- Family Medicine Physician
- Manchester, NH
- NPI 1073554770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1518152461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SHEFFIELD RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032314",
"telephone_number": "603-622-0909",
"fax_number": "603-622-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 SHEFFIELD RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032314",
"telephone_number": "603-622-0909",
"fax_number": "603-622-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLIN",
"first_name": "SYLVIE",
"middle_name": "JESSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "13Y004084NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4130792",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30412161",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2948785",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.