Active NPI
Chelie M Middleton, RN
- Registered Nurse
- Santa Fe Springs, CA
National Provider Identifier
1720127210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 771831
- Practice address
- 11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674 - Phone
- (562) 949-8455
- Fax
- (562) 949-4807
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 771831 | CA | Primary |
Addresses
Primary practice location
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Mailing address
9774 Olive St
Bloomington, CA 92316-2021
Phone (626) 780-0524
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 771831 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276214400000",
"number": "1720127210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9774 OLIVE ST",
"city": "BLOOMINGTON",
"state": "CA",
"postal_code": "923162021",
"telephone_number": "626-780-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703674",
"telephone_number": "562-949-8455",
"fax_number": "562-949-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "CHELIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2010-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "771831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.