Katie Chandler Mumblow, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19548 Issued in SC

Practice address

601 Brooks St
Abbeville, SC 29620-2467

Phone

(864) 459-2121

NPI assigned

Jun 18, 2015

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

Other names 1

• Ms. Katie Nicole Chandler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1588046296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROOKS ST",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296202467",
            "telephone_number": "864-459-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROOKS ST",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296202467",
            "telephone_number": "864-459-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMBLOW",
        "first_name": "KATIE",
        "middle_name": "CHANDLER",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "CHANDLER",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Davis Renee Migdalas, FNP
• John Edward Milko, MD
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• Julie Moore, LISW
• Tonya Kay Moore, PT
• Ohio Valley Physicians
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• Christopher Lee Oxendine, M.D.
• Marisol Palacios-Cruz

• Family Nurse Practitioner in Abbeville, SC
• Providers in Abbeville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.

Verify at the official NPI Registry.