Individual provider Active NPI

Casey N Chandler

  • Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1902554140
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11018796 Issued in FL
Practice address
1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone
(502) 330-5314
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 11018796 FL Primary

Addresses

Primary practice location

1425 S Congress Ave
Delray Beach, FL 33445-6384

Mailing address

881 Sir Lionel St
Dyersburg, TN 38024-7305
Phone (731) 445-0915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address casey.chandler@dyersburgcityschools.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220808002277 FL Practitioner - Nurse Practitioner 7012399090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11018796FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr GS Urgent Care LLC Single Specialty CurrentSince Jul 18, 2022 Accepting new patients

Locations

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1902554140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 SIR LIONEL ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380247305",
            "telephone_number": "731-445-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456384",
            "telephone_number": "502-330-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CASEY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11018796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "casey.chandler@dyersburgcityschools.org",
            "affiliation": "N",
            "address_1": "1425 S Congress Ave",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334456384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.