Active NPI
Yutt Chantanarung
- Critical Care Medicine Registered Nurse
- Gilbert, AZ
National Provider Identifier
1861370868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN214059
- Practice address
- 2521 E Carob Dr
Gilbert, AZ 85298-8485 - Phone
- (480) 495-6478
- NPI assigned
- Aug 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN214059 | AZ | Primary |
Addresses
Primary practice location
2521 E Carob Dr
Gilbert, AZ 85298-8485
Mailing address
2521 E Carob Dr
Gilbert, AZ 85298-8485
Phone (480) 495-6478
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN214059 | AZ | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1861370868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 E CAROB DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852988485",
"telephone_number": "480-495-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 E CAROB DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852988485",
"telephone_number": "480-495-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANTANARUNG",
"first_name": "YUTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AZ",
"license": "RN214059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.