Active NPI
Chanelle Kendall, MEDICAL ASSISTANT
- Counselor
- Westbury, NY
National Provider Identifier
1639318447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 682 Union Ave
New Cassel Community Health Center
Westbury, NY 11590 - Phone
- (516) 571-9500
- Fax
- (516) 572-5793
- NPI assigned
- Feb 18, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
682 Union Ave
New Cassel Community Health Center
Westbury, NY 11590
Mailing address
682 Union Ave
New Cassel Community Health Center
Westbury, NY 11590
Phone (516) 571-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07978 | Other | HOSPITAL ID# |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1639318447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 UNION AVE",
"address_2": "NEW CASSEL COMMUNITY HEALTH CENTER",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-571-9500",
"fax_number": "516-572-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 UNION AVE",
"address_2": "NEW CASSEL COMMUNITY HEALTH CENTER",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-571-9500",
"fax_number": "516-572-5793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "CHANELLE",
"credential": "MEDICAL ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPITAL ID#",
"identifier": "07978",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.