Chase Kaczmarek

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1487 Cambridge Lakes Dr
Mount Pleasant, SC 29464-7301

Phone

(314) 913-0713

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1548975923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 CAMBRIDGE LAKES DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 CAMBRIDGE LAKES DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647301",
            "telephone_number": "314-913-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMAREK",
        "first_name": "CHASE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Alexander Jones, PT, DPT, CSCS
• Sara Ethridge Jones, FNP-C
• Mary Theresa Joseph, MD
• Jeffrey R Joyner, M.D.
• Ashley Renee Kaczmarek, RN
• Brett Kahn, D.C
• Lindsay Erin Kale, M.S., OTR/L
• Ram Kalus, M.D.
• Daniel Kammire, PT, DPT, MS
• Rya Kaplan, MD

• Health & Wellness Coach in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Health & Wellness Coach in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.