Takita Chaney
Individual provider Active NPI Nurse's Aide · Canton, MS
NPI 1851961601 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1851961601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 736 Martin Luther King Dr
Canton, MS 39046-3003 - Phone
- (601) 407-8591
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
736 Martin Luther King Dr
Canton, MS 39046-3003
Mailing address
736 Martin Luther King Dr
Canton, MS 39046-3003
Phone (601) 407-8591
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.