Individual provider Active NPI

Chasidy Christine Calantoni, COTA

  • Pediatric Skilled Nursing Facility
  • Dunedin, FL
National Provider Identifier
1750652806
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
OTA 10460 Issued in FL
Practice address
3115 Palm CT
Dunedin, FL 34698-9549
Phone
(727) 219-3817
NPI assigned
Jan 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X OTA 10460 FL Primary

Addresses

Primary practice location

3115 Palm CT
Dunedin, FL 34698-9549

Mailing address

3115 Palm CT
Dunedin, FL 34698-9549
Phone (727) 219-3817

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

LicenseStateTypeSpecialty
OTA 10460FLMDPediatric Skilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1750652806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 PALM CT",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989549",
            "telephone_number": "727-219-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 PALM CT",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989549",
            "telephone_number": "727-219-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALANTONI",
        "first_name": "CHASIDY",
        "middle_name": "CHRISTINE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "FL",
            "license": "OTA 10460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.