Active NPI
Chandra E Irvin, APN
- Nurse Practitioner
- Burnet, TX
National Provider Identifier
1568520864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP108157
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP108157 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
dba Ascension Seton Elgin Health Center
- Rural Health Clinic/Center
- Elgin, TX
- NPI 1437714987
-
- Hospitalist Physician
- Hemphill, TX
- NPI 1528237559
-
- Physician Assistant
- Brownsville, TX
- NPI 1942255492
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
- Hill Country Advanced Foot and Ankle Center, P.a.
- Hill Country Birth Center (Hill Country Birth & Wellness)
- Brenda Dawn Hinman McIlroy, DO, MPH
- Erica J Hughes, MD
- Akbar Aly Hussaini, M.D.
- Jeremy L Danson OD PA (Burnet Eye Care)
- Elyssa J Johnson
- Meredith Jowers
- Kenneth Lester Malamud MD PLLC
- Kickstart Kids Therapy, PLLC (Kickstart Kids)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.