Sydnee Mi Kyung Chun, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

AR000069578E Issued in AR

Practice address

22 Oak Forest PL
Maumelle, AR 72113-6817

Phone

(501) 414-5677

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1669026977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 WOLFE CREEK DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229321",
            "telephone_number": "501-213-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OAK FOREST PL",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136817",
            "telephone_number": "501-414-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "SYDNEE",
        "middle_name": "MI KYUNG",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AR",
            "license": "AR000069578E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHMIEDING HOMECARE TRAINING",
            "identifier": "AR000069578E",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2WIRE784",
            "affiliation": "N",
            "address_1": "22 Oak Forest Pl",
            "city": "Maumelle",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721136817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Janette Carillon, P.A.C.
• Katrina Carpenter, APRN, PMHNP-BC
• Hannah Castleberry, PHARMD
• Amy Channell, MS CCC-SLP
• CHG Senior Living Stonehaven LLC
• Hannah Church
• Ryan A Coleman
• Comprehensive Health Psychology & Testing
• Connecting Pathways LLC
• Bailey Crawford, OTD

• Nurse's Aide in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Nurse's Aide in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.