Chic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CHIC

Practice address

920 Richmond Rd
Irvine, KY 40336-7230

Phone

(606) 717-0177

NPI assigned

Mar 24, 2023

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Maupin, APRNNPI 1760870307

Title

Owner

Phone

(859) 200-4513

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760185003. Details of each certification follow.

• CCN B03944 Rural health clinic · Active · Details

Rural health clinic certification: CCN B03944

Legal name

C H I C

Doing business as

A+ PEDIATRICS

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jan 4, 2024

Last certification

Jan 4, 2024

Ownership / control type

1A

Organization structure

LLCProprietary

Enrollment address

920 Richmond Rd
Irvine, KY 40336-7230

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

A Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chic

  dba A Plus Pediatrics

  • Clinic/Center
  • Irvine, KY
  • NPI 1891592770
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Maupin, CNP

  • Nurse Practitioner
  • Irvine, KY
  • NPI 1760870307
  NPD Authorized official
• Anthony Micah Lee, APRN-CNP

  • Family Nurse Practitioner
  • Richmond, KY
  • NPI 1770314569
  NPD (past)

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1760185003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367230",
            "telephone_number": "606-717-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-200-4513",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Rose Brandenburg, PT, MS
• Katherine Diana Britz, RANK 2 CERTIFIED
• Julia D Browning, APRN
• Central Kentucky Surgery, PSC
• Central Ky Surgical Assisting
• Chic (A Plus Pediatrics)
• Children's Care, PLLC (Children's Clinic Annex)
• Children's Care, PLLC (Children's Clinic)
• Elizabeth J Clark, APRN
• Rita Faye Collins, OTR

• Rural Health Clinic/Center in Irvine, KY
• Providers in Irvine, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.