Individual provider Active NPI

Pamela Jean Chapman, CRNA

  • Certified Registered Nurse Anesthetist
  • Taylor Lake Village, TX
National Provider Identifier
1568429488
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
036862 Issued in TX
Practice address
707 Shorewood Dr
Taylor Lake Village, TX 77586-4611
Phone
(281) 326-1171
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 036862 TX Primary

Addresses

Primary practice location

707 Shorewood Dr
Taylor Lake Village, TX 77586-4611

Mailing address

707 Shorewood Dr
Taylor Lake Village, TX 77586-4611
Phone (281) 326-1171

Other identifiers 2

IdentifierTypeStateIssuer
088745706MedicaidTX
88423UOtherTXBCBS

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
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
36862TXMDGeneral Practice Dentistry
036862TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Houston, L.L.P. Past Accepting new patients
A Medical Advantage Healthcare Systems Associated Past Accepting new patients
Spinal Technologies, L.L.C. Past Accepting new patients
Psa Ambulatory Surgical Center of South Austin, LLC Past Accepting new patients
Spine and Joint Pain Center, PA Past Accepting new patients
Denton Texas Health Management, PLLC Past Accepting new patients
Anesthesia Specialists of Houston, L.L.P Past Accepting new patients
Psa Anesthesia PLLC PastSince Oct 10, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/443/brand/1/csg/22/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1568429488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHOREWOOD DR",
            "city": "TAYLOR LAKE VILLAGE",
            "state": "TX",
            "postal_code": "775864611",
            "telephone_number": "281-326-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SHOREWOOD DR",
            "city": "TAYLOR LAKE VILLAGE",
            "state": "TX",
            "postal_code": "775864611",
            "telephone_number": "281-326-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "036862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088745706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88423U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor Lake Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.