Individual provider Active NPI

Christina Chalmers, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Orange, CA
National Provider Identifier
1902284656
Registry record updated Nov 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95001128 Issued in CA
Practice address
505 S Main St Ste 100
Orange, CA 92868-4568
Phone
(714) 509-3919
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 760823 CA
Registered Nurse 163W00000X 95001128 CA
Pediatric Nurse Practitioner 363LP0200X 95001128 CA Primary

Addresses

Primary practice location

505 S Main St Ste 100
Orange, CA 92868-4568

Mailing address

505 S Main St Ste 100
Orange, CA 92868-4568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150701002783 CA Practitioner - Nurse Practitioner 9537471628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
760823CAMDRegistered Nurse
95001128CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Uci Department of Urology CurrentSince Jun 1, 2015 Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

505 S Main St
Ste 100
Orange, CA 92868
Phone (714) 509-3914

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478390400000",
    "number": "1902284656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684568",
            "telephone_number": "714-509-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALMERS",
        "first_name": "CHRISTINA",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "760823",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95001128",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95001128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.