Active NPI
Michele Chapman, MA FAAA
- Audiologist
- Elwyn, PA
National Provider Identifier
1629139423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000325L
- Practice address
- 111 Elwyn Road
Yago Building Suite B1
Elwyn, PA 19063-4622 - Phone
- (610) 891-2216
- Fax
- (610) 891-7000
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000325L | PA | Primary |
Addresses
Primary practice location
111 Elwyn Road
Yago Building Suite B1
Elwyn, PA 19063-4622
Mailing address
111 Elwyn Road
Yago Building Suite B1
Elwyn, PA 19063-4622
Phone (610) 891-2188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01650350 | Medicaid | PA | |
| 0461606000 | Other | PA | BC HMO |
| 1154157 | Other | PA | KEYSTONE MERCY |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000325L | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1629139423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELWYN ROAD",
"address_2": "YAGO BUILDING SUITE B1",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-2188",
"fax_number": "610-891-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ELWYN ROAD",
"address_2": "YAGO BUILDING SUITE B1",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-2216",
"fax_number": "610-891-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "MA FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000325L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01650350",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC HMO",
"identifier": "0461606000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1154157",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.