Richard Daryl Enriquez Chapman

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

CNA030128 Issued in NV

Practice address

4202 Diya Ave
North Las Vegas, NV 89084-4701

Phone

(415) 323-8247

NPI assigned

Aug 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1750058335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 DIYA AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844701",
            "telephone_number": "415-323-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 DIYA AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844701",
            "telephone_number": "415-323-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "RICHARD DARYL",
        "middle_name": "ENRIQUEZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NV",
            "license": "CNA030128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Idk",
            "affiliation": "N",
            "address_1": "4202 Diya Ave",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890844701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Change Agents of Social Services LLC
• Elizabeth B Chapa, CSW INTERN
• Sandra Fay Chapin
• Geraldine Christina Chapman-Spencer, LMSW, LCSW
• Laschelle D Chapman
• Shannon Faye Chapman, COTA/L
• Courtney Chappell-Owens
• Ezra Dove Chappell
• Laveda Sheney Chappell
• Antoinette Chappelle

• Rehabilitation Hospital Unit in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Hospital Unit in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.