Charlotte Merrill Chaisson, PNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

278193 Issued in AZ

Practice address

13065 W McDowell Rd Ste C130
Avondale, AZ 85392-6448

Phone

(623) 846-7575

NPI assigned

Jul 22, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cchaisson@mvpkidscare.opdirect.net

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

• North Scottsdale Pediatric Associates

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1275797235
  NPD (past)

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1669107652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 N 48TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186563",
            "telephone_number": "203-241-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 W MCDOWELL RD STE C130",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926448",
            "telephone_number": "623-846-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAISSON",
        "first_name": "CHARLOTTE",
        "middle_name": "MERRILL",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "278193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Cerda
• Laura Cerda
• Krupa Mathew Chackalackal, RD
• Sara Chacon Acosta
• Sheri Louise Chacon, PHYSICIAN ASSISTANT
• Karen Chancellor
• Robinette Chandler
• Samantha Helen Chapin, RN
• Charles Clausen DDS PC
• Irena Chatkowski

• Nurse Practitioner in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.