Individual provider Active NPI

Lily Danielle Chatman

  • Midwife
  • Mason, OH
National Provider Identifier
1659133056
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
APRN.CNM.0019607 Issued in OH
Practice address
7450 S Mason Montgomery Rd Unit 201
Mason, OH 45040-7892
Phone
(279) 770-2797
Fax
(513) 770-2798
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X APRN.CNM.0019607 OH Primary

Addresses

Primary practice location

7450 S Mason Montgomery Rd Unit 201
Mason, OH 45040-7892

Mailing address

300 W Crest Dr
Cincinnati, OH 45215-3510
Phone (847) 220-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004424 OH Practitioner - Certified Nurse Midwife (CNM) 9032553847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Feb 12, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 12, 2024 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

1 Wyoming St
Ste 3100A
Dayton, OH 45409
Phone (937) 890-6644

2350 Miami Valley Dr
Ste 320
Dayton, OH 45459
Phone (937) 312-1661

7117 Dutchland Pkwy
Liberty Township, OH 45044
Phone (513) 770-2797

7450 S Mason Montgomery Rd
Ste 201B
Mason, OH 45040
Phone (513) 420-8030

7450 S Mason Montgomery Rd
Unit 201
Mason, OH 45040
Phone (513) 229-7791

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

630 N Main St
Ste 200
Springboro, OH 45066
Phone (937) 748-8516

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

680 Aviator Ct
Vandalia, OH 45377
Phone (937) 890-6644

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1659133056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CREST DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153510",
            "telephone_number": "847-220-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 S MASON MONTGOMERY RD UNIT 201",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407892",
            "telephone_number": "279-770-2797",
            "fax_number": "513-770-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "LILY",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.