Chaquinais Desherron Birchfield, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906151 Issued in MS

Practice address

151 Thames Ave
Bay St Louis, MS 39520-5002

Phone

(985) 643-4575

Fax

(833) 222-4520

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

E. M. Dimitri, D.O. PMC.Group PAC ID 4284722059, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• E. M. Dimitri, D.O. PMC

  • Dermatology Physician
  • Slidell, LA
  • NPI 1821285974

  LA, MS

  Medicare reassignment Care Compare group NPD
• Shapiro Dimitri Medical, LLC

  • Dermatology Physician
  • Meridian, MS
  • NPI 1124373030
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1629612288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 GAUSE BLVD W STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 THAMES AVE",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395205002",
            "telephone_number": "985-643-4575",
            "fax_number": "833-222-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 Gause Blvd W Ste A",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704604130",
            "country_code": "US",
            "telephone_number": "985-643-4575",
            "fax_number": "833-222-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRCHFIELD",
        "first_name": "CHAQUINAIS",
        "middle_name": "DESHERRON",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906151",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "232176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Bellman, PCCSS
• Anna Louise Bentz, PT
• Jeffrey R Benzing, DPM
• Tracy G Benzing, DPM
• Bert Chevis M D LLC
• Erin Favre Blanchette, CPNP
• Matthew Peter Brennan, MD
• Marion B Brewer, FNP-C
• Desiree Bridges-Mitchell
• Diane Lynn Brunet

• Family Nurse Practitioner in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.