Individual provider Active NPI

Kerry Chapley, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1700215191
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5221 Issued in AZ
Practice address
914 N San Francisco St Ste D
Flagstaff, AZ 86001-3254
Phone
(928) 985-1498
Fax
(928) 597-5198
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5221 AZ Primary

Addresses

Primary practice location

914 N San Francisco St Ste D
Flagstaff, AZ 86001-3254

Mailing address

914 N San Francisco St Ste D
Flagstaff, AZ 86001-3254
Phone (928) 985-1495

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5221AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1700215191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N SAN FRANCISCO ST STE D",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013254",
            "telephone_number": "928-985-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N SAN FRANCISCO ST STE D",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013254",
            "telephone_number": "928-985-1498",
            "fax_number": "928-597-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLEY",
        "first_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.