Individual provider Active NPI

Chantia Gaines, CNP

  • Family Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1790156875
Registry record updated May 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18201-NP Issued in OH
Practice address
2336 Mack Rd Unit B
Fairfield, OH 45014-3169
Phone
(513) 354-3868
NPI assigned
Oct 14, 2015
Last updated
May 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18201-NP OH Primary

Addresses

Primary practice location

2336 Mack Rd Unit B
Fairfield, OH 45014-3169

Mailing address

3620 Cumberland Dr
Hamilton, OH 45011-1836
Phone (513) 432-2899

Other practice location 1

2336 Mack Rd Unit B
Fairfield, OH 45014-3169
Phone (513) 322-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.18201-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings Supported Living Services LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

752 Waycross Rd
Ste 1
Cincinnati, OH 45240
Phone (513) 322-2098

2336 Mack Rd
Ste B
Fairfield, OH 45014
Phone (513) 322-2098

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1790156875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 CUMBERLAND DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450111836",
            "telephone_number": "513-432-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 MACK RD UNIT B",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143169",
            "telephone_number": "513-354-3868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2336 MACK RD UNIT B",
            "address_purpose": "LOCATION",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143169",
            "country_code": "US",
            "telephone_number": "513-322-2098",
            "fax_number": "513-855-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "CHANTIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18201-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.