Individual provider Active NPI

Lara Suzanne Chase, B-K LICENSE

  • Early Intervention Provider Agency
  • Apex, NC
National Provider Identifier
1699928663
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
7829 Percussion Dr
Preemies & Associates, LLC
Apex, NC 27539-3611
Phone
(919) 363-7585
Fax
(919) 303-3939
NPI assigned
Nov 3, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary
Developmental Therapist 222Q00000X 8700014 NC

Addresses

Primary practice location

7829 Percussion Dr
Preemies & Associates, LLC
Apex, NC 27539-3611

Mailing address

7829 Percussion Dr
Preemies & Associates, LLC
Apex, NC 27539-3611
Phone (919) 363-7585

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

State licenses

LicenseStateTypeSpecialty
8700014NCMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1699928663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 PERCUSSION DR",
            "address_2": "PREEMIES & ASSOCIATES, LLC",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275393611",
            "telephone_number": "919-363-7585",
            "fax_number": "919-303-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 PERCUSSION DR",
            "address_2": "PREEMIES & ASSOCIATES, LLC",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275393611",
            "telephone_number": "919-363-7585",
            "fax_number": "919-303-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "LARA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "B-K LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NC",
            "license": "8700014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.