Octavia Crystal Chandler

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

557 NW Monroe Ave
Corvallis, OR 97330-4721

Phone

(541) 766-6835

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Octavia Silvestre Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1639614027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 NW MONROE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304721",
            "telephone_number": "541-766-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 NW MONROE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304721",
            "telephone_number": "541-766-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "OCTAVIA",
        "middle_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OCTAVIA",
            "last_name": "SILVESTRE",
            "credential": "C.R.M., B.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Chambers
• Jenna Chamness, PHARMD
• Kelsey S Chan
• Nikki Banggo Chan
• Jessica Marie Chancey
• Janet Chang, D.O.
• Kaylee Chang
• Siv C Chang, R.PH.
• Morgan Chapleau-Stein, BA
• Alana Mikayla Chaplin-Arey, DPT

• Case Manager/Care Coordinator in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.