Individual provider Active NPI

Anmarie Chandler, NP-C

  • Adult Health Nurse Practitioner
  • Jacksonville, AL
National Provider Identifier
1821545872
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-113235 Issued in AL
Practice address
320 Branscomb Dr SW Ste a
Jacksonville, AL 36265-3102
Phone
(256) 435-8383
Fax
(256) 435-8304
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-113235 AL Primary
Gerontology Clinical Nurse Specialist 364SG0600X 1-113235 AL

Addresses

Primary practice location

320 Branscomb Dr SW Ste a
Jacksonville, AL 36265-3102

Mailing address

320 Branscomb Dr SW Ste a
Jacksonville, AL 36265-3102
Phone (256) 435-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20161206000129 AL Practitioner - Nurse Practitioner 6608156815 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-113235ALMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: anmarie.chandler.1@15682.direct.athenahealth.com

Organizations & group practices 1

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1821545872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BRANSCOMB DR SW STE A",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653102",
            "telephone_number": "256-435-8383",
            "fax_number": "256-435-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BRANSCOMB DR SW STE A",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653102",
            "telephone_number": "256-435-8383",
            "fax_number": "256-435-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ANMARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-113235",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "AL",
            "license": "1-113235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.