Active NPI
Crystal Lynn Chalmers, MS
- Assistive Technology Supplier Audiologist
- Chico, CA
National Provider Identifier
1609949866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- AU776
- Practice address
- 15 Jan CT
Chico, CA 95928-4418 - Phone
- (530) 899-3277
- Fax
- (530) 895-0811
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | AU776 | CA | Primary |
Addresses
Primary practice location
15 Jan CT
Chico, CA 95928-4418
Mailing address
15 Jan CT
Chico, CA 95928-4418
Phone (530) 899-3277
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P68261 | Other | CA | FNRC |
| AU0007760 | Medicaid | CA | |
| 0045173 | Other | CA | SSI |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU776 | CA | MD | Assistive Technology Supplier Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609949866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 JAN CT",
"city": "CHICO",
"state": "CA",
"postal_code": "959284418",
"telephone_number": "530-899-3277",
"fax_number": "530-895-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 JAN CT",
"city": "CHICO",
"state": "CA",
"postal_code": "959284418",
"telephone_number": "530-899-3277",
"fax_number": "530-895-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALMERS",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "CA",
"license": "AU776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNRC",
"identifier": "P68261",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0007760",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSI",
"identifier": "0045173",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.