Chaya Shuchat, CPNP

Key facts

NPI

1891046348

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nurse Practitioner 363LP0200X

License

SP15918 (PA)

Practice address

1730 E Broad St
Hazleton, PA 18201-5657

Phone

(570) 704-4648

NPI assigned

Sep 24, 2012

Sex

Female

Sole proprietor

No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rural Health Corporation of Northeastern Pennsylvania Federally Qualified Health Center (FQHC) · Wilkes Barre, PA · NPI 1265801112
  Medicare reassignment NPD PA
• Rural Health Corporation of Northeastern Pennsylvania Federally Qualified Health Center (FQHC) · Falls, PA · NPI 1205938578
  NPD
• Rural Health Corporation of Northeastern Pennsylvania Federally Qualified Health Center (FQHC) · Wilkes-Barre, PA · NPI 1437351640
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chayashuchatcrnp@rhc.medentdirect.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2024.

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1891046348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015657",
            "telephone_number": "570-704-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015657",
            "telephone_number": "570-704-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUCHAT",
        "first_name": "CHAYA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP15918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

• Sarah N Seratch, MPT
• Laura Shallenberger, PA-C
• Michael Dean Sheaffer, DO
• Stephen N Shoemaker, D.O.
• Shelly Shoup
• Jude Francis Sidari, MD
• Sleep and Wellness Clinic of Greater Hazleton
• Henry F Smith Jr., MD
• Michael Socher
• Janetta Soffa-Hale, PHARMD

All providers in Hazleton, PA · Pediatric Nurse Practitioner in Pennsylvania