Individual provider Active NPI

Terri Annette Chandler, RN BSN CWON

  • Ostomy Care Registered Nurse
  • Louisville, KY
National Provider Identifier
1861977951
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ostomy Care Registered NurseTaxonomy code 163WX1500X
License
1056796 Issued in KY
Practice address
3999 Dutchmans LN Ste 1D
Louisville, KY 40207-4741
Phone
(502) 559-1860
Fax
(502) 599-1867
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 1056796 KY
Ostomy Care Registered Nurse 163WX1500X 1056796 KY Primary

Addresses

Primary practice location

3999 Dutchmans LN Ste 1D
Louisville, KY 40207-4741

Mailing address

3999 Dutchmans LN Ste 1D
Louisville, KY 40207-4741
Phone (502) 559-1860

Other names 1

  • Terri Patterson Former name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1056796KYMDOstomy Care Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1861977951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 1D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074741",
            "telephone_number": "502-559-1860",
            "fax_number": "502-559-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 1D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074741",
            "telephone_number": "502-559-1860",
            "fax_number": "502-599-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "TERRI",
        "middle_name": "ANNETTE",
        "credential": "RN BSN CWON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "KY",
            "license": "1056796",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "KY",
            "license": "1056796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "PATTERSON",
            "credential": "RN BSN CWON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.