Active NPI
Chrislyn Adelia Chaloupka, FNP-C
- Family Nurse Practitioner
- Pearland, TX
National Provider Identifier
1619441532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP140003
- Practice address
- 10907 Memorial Hermann Dr Ste 440
Pearland, TX 77584-4114 - Phone
- (832) 915-8140
- Fax
- (832) 201-9181
- NPI assigned
- Jan 14, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP140003 | TX | Primary |
Addresses
Primary practice location
10907 Memorial Hermann Dr Ste 440
Pearland, TX 77584-4114
Mailing address
PO Box 891392
Houston, TX 77289-1392
Phone (832) 915-8140
Other practice location 1
12835 Gulf Fwy
Houston, TX 77034-4807
Phone (832) 915-8140
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PASADENA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 1
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": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1619441532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 891392",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772891392",
"telephone_number": "832-915-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10907 MEMORIAL HERMANN DR STE 440",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844114",
"telephone_number": "832-915-8140",
"fax_number": "832-201-9181"
}
],
"practiceLocations": [
{
"address_1": "12835 Gulf Fwy",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770344807",
"country_code": "US",
"telephone_number": "832-915-8140",
"fax_number": "832-201-9181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHALOUPKA",
"first_name": "CHRISLYN",
"middle_name": "ADELIA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP140003",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PASADENA",
"affiliation": "N",
"address_1": "6243 Fairmont Pkwy Ste 203",
"city": "Pasadena",
"state": "TX",
"country_code": "US",
"postal_code": "775054047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.