Active NPI
Elizabeth Ann Chattin, PA-C
- Physician Assistant
- Baker City, OR
National Provider Identifier
1821211277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10005192
- Practice address
- 3325 Pocahontas Rd
Baker City, OR 97814-1464 - Phone
- (541) 523-6461
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10005192 | WA | Primary |
Addresses
Primary practice location
3325 Pocahontas Rd
Baker City, OR 97814-1464
Mailing address
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 523-6461
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3862CH | Other | WA | BLUE SHIELD |
| 8488512 | Medicaid | WA |
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1821211277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 POCAHONTAS RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141464",
"telephone_number": "541-523-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 POCAHONTAS RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141464",
"telephone_number": "541-523-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTIN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10005192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "3862CH",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8488512",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.