Individual provider Active NPI

Cathy Jeanne Chess, RN, CPNP

  • Pediatric Nurse Practitioner
  • Munster, IN
National Provider Identifier
1679544977
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
071032 Issued in MO
Practice address
8224 Calumet Ave
Munster, IN 46321-1704
Phone
(312) 513-2634
Fax
(219) 836-0527
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 071032 MO Primary
Pediatric Nurse Practitioner 363LP0200X 209007223 IL

Addresses

Primary practice location

8224 Calumet Ave
Munster, IN 46321-1704

Mailing address

811 W 15TH PL
# 506
Chicago, IL 60608-1505
Phone (312) 513-2634

Other identifiers 1

IdentifierTypeStateIssuer
2679544977MedicaidIN

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
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209007223ILMDPediatric Nurse Practitioner
071032MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinic Munster Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1679544977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W 15TH PL",
            "address_2": "# 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081505",
            "telephone_number": "312-513-2634",
            "fax_number": "219-836-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211704",
            "telephone_number": "312-513-2634",
            "fax_number": "219-836-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESS",
        "first_name": "CATHY",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "071032",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209007223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2679544977",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.