Active NPI
Chauntia Dimmings, APRN
- Family Nurse Practitioner
- Willoughby, OH
National Provider Identifier
1700426103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 026169
- Practice address
- 6005 Som Center Rd
Willoughby, OH 44094-9646 - Phone
- (440) 946-7252
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 026169 | OH | Primary |
Addresses
Primary practice location
6005 Som Center Rd
Willoughby, OH 44094-9646
Mailing address
6005 Som Center Rd
Willoughby, OH 44094-9646
Phone (440) 946-7252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026169 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Ohio LLC | Family | Current | Accepting new patients |
Locations
4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407
10085 Darrow Rd
Twinsburg, OH 44087
Phone (330) 425-4300
6005 Som Center Rd
Willoughby, OH 44094
Phone (440) 946-7252
28100 Chagrin Blvd
Woodmere, OH 44122
Phone (216) 591-0601
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.
-
- Family Nurse Practitioner
- Hilliard, OH
- NPI 1699747303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1700426103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 SOM CENTER RD",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949646",
"telephone_number": "440-946-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 SOM CENTER RD",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949646",
"telephone_number": "440-946-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMMINGS",
"first_name": "CHAUNTIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "026169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.