Active NPI
Jeanette Chapman
- Registered Nurse
- Boardman, OH
National Provider Identifier
1740313865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 352764
- Practice address
- 581 Oakridge Dr
Boardman, OH 44512-3147 - Phone
- (330) 758-5042
- NPI assigned
- Mar 14, 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 | 352764 | OH | Primary |
Addresses
Primary practice location
581 Oakridge Dr
Boardman, OH 44512-3147
Mailing address
581 Oakridge Dr
Boardman, OH 44512-3147
Phone (330) 758-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2286299 | Other | OH | PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 352764 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1740313865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 OAKRIDGE DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123147",
"telephone_number": "330-758-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 OAKRIDGE DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123147",
"telephone_number": "330-758-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "JEANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "352764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "2286299",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.