Individual provider Active NPI

Chandra E Irvin, APN

  • Nurse Practitioner
  • Burnet, TX
National Provider Identifier
1568520864
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP108157 Issued in TX
Practice address
3201 S Water St
Seton Highland Lakes Care-a-Van
Burnet, TX 78611-4510
Phone
(830) 596-3081
Fax
(512) 756-6405
NPI assigned
Dec 5, 2006
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP108157 TX Primary

Addresses

Primary practice location

3201 S Water St
Seton Highland Lakes Care-a-Van
Burnet, TX 78611-4510

Mailing address

PO Box 1219
Burnet, TX 78611-7219
Phone (830) 596-3081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP108157TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton Past Accepting new patients
Ascension Seton Past Accepting new patients
HCC Region II LLC Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chandra.irvin.1@8363.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1568520864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1219",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786117219",
            "telephone_number": "830-596-3081",
            "fax_number": "512-756-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S WATER ST",
            "address_2": "SETON HIGHLAND LAKES CARE-A-VAN",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786114510",
            "telephone_number": "830-596-3081",
            "fax_number": "512-756-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "CHANDRA",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP108157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnet, TX

Sources for this page

Verify at the official NPI Registry.