Active NPI
Louise Chandler, RN CS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Randolph, MA
National Provider Identifier
1790761179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 89271
- Practice address
- 1093 N Main St
Randolph, MA 02368-2100 - Phone
- (781) 963-7775
- Fax
- (781) 963-7776
- NPI assigned
- Dec 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 89271 | MA | Primary |
Addresses
Primary practice location
1093 N Main St
Randolph, MA 02368-2100
Mailing address
1093 N Main St
Randolph, MA 02368-2100
Phone (781) 963-7775
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89271 | MA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1790761179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1093 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682100",
"telephone_number": "781-963-7775",
"fax_number": "781-963-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1093 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023682100",
"telephone_number": "781-963-7775",
"fax_number": "781-963-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "LOUISE",
"credential": "RN CS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "MA",
"license": "89271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.