Jenna Marie Chapa, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

641962 Issued in TX

Practice address

1104 Brook Ave
Wichita Falls, TX 76301-5049

Phone

(940) 687-6870

Fax

(940) 687-7001

NPI assigned

Jul 28, 2010

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1558675819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015049",
            "telephone_number": "940-687-6870",
            "fax_number": "940-687-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015049",
            "telephone_number": "940-687-6870",
            "fax_number": "940-687-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343836",
            "country_code": "US",
            "telephone_number": "940-627-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPA",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "641962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagathi Devi Challagalla, M.D.
• Abuola Omot Cham
• Sara Chancellor
• Crystal Lena Chang, M.A., LPC
• Donald Chapa, PTA
• Chaparral Hospice, Inc (Gentiva Hospice)
• Anita Chaplin, EIS
• Jessica E Chapman, MA, LPC
• Stewart R Chapman, DC
• Maria Ramona Chavarria

• Family Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.