Organization Active NPI

Chalfana Renee Thompson

  • Independent Duty Medical Technicians
  • Fort Wayne, IN
National Provider Identifier
1740001189
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Legal business name
CHALFANA RENEE THOMPSON
Practice address
1 Kiosk Way
Fort Wayne, IN 46896
Phone
(260) 553-3243
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Chalfana Renee Thompson
Title
Owner/Practitioner
Phone
(260) 255-3243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical TechniciansGroup: 193400000X SINGLE SPECIALTY GROUP 1710I1003X Primary

Addresses

Primary practice location

1 Kiosk Way
Fort Wayne, IN 46896

Mailing address

1 Kiosk Way
Fort Wayne, IN 46896
Phone (260) 255-3243

Other names 1

  • Business Finance And Insurance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1740001189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KIOSK WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46896",
            "telephone_number": "260-255-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIOSK WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46896",
            "telephone_number": "260-553-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALFANA RENEE THOMPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHALFANA RENEE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "260-255-3243"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Business Finance And Insurance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Business Finance And Insurance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.