Active NPI
Chanel Ayers
- Licensed Practical Nurse
- Kenosha, WI
National Provider Identifier
1639603863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 321506
- Practice address
- 1465 Sheridan Rd
Apt 1
Kenosha, WI 53140-4444 - Phone
- (262) 744-8097
- NPI assigned
- Apr 14, 2017
- Last updated
- Apr 14, 2017
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 321506 | WI | Primary |
Addresses
Primary practice location
1465 Sheridan Rd
Apt 1
Kenosha, WI 53140-4444
Mailing address
1465 Sheridan Rd
Apt 1
Kenosha, WI 53140-4444
Phone (262) 744-8097
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321506 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1639603863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 SHERIDAN RD",
"address_2": "APT 1",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404444",
"telephone_number": "262-744-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 SHERIDAN RD",
"address_2": "APT 1",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404444",
"telephone_number": "262-744-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYERS",
"first_name": "CHANEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "321506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
- Kim Marie Ausse, C.O.T.A.
- Natalija Aust, DDS
- Authentic Conversations Therapeutic Services
- Catherine Marie Avis, PHARMD
- Ayers Eye Care, L.L.C.
- Jennifer L Ayers, OD
- Theodore Azar
- B7 Pharmacy Inc (Good Value Pharmacy Medcare West)
- B7 Pharmacy Inc (Good Value Pharmacy Larsen-Mayer)
- B7 Pharmacy, Inc. (Good Value Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.