Chomba Hansende, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R233439 Issued in MD

Practice address

1608 Gayla Creek Dr
Little Elm, TX 75068-4992

Phone

(903) 372-3660

NPI assigned

Dec 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: chansende17121@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington Nephrology Associates, L.L.P.

  • Nephrology Physician
  • Rockville, MD
  • NPI 1124193479

  DC

  Medicare reassignment

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1750896098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 ROBINSON JEFFERSON DR APT 408",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757271",
            "telephone_number": "903-372-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 GAYLA CREEK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684992",
            "telephone_number": "903-372-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSENDE",
        "first_name": "CHOMBA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R233439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Tillman Grogan Jr., DDS
• Anil K Gudipati, DDS
• Guided Care Management
• Ritu Gupta, MSD
• Joe Gutierrez, DC
• Linda Lee Harris, AGNP
• Darren Harrison, PT
• Ny'Kiel Ri'Shaun Hayden, MSN, APRN, FNP-BC
• Ryan Edward Hazlehurst, O.D.
• Ashlee Marie Henderson, FNP

• Family Nurse Practitioner in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.