Active NPI
Christy Leanne Chandler, PA-C
- Medical Physician Assistant
- Pineville, LA
National Provider Identifier
1902998008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.A10547.RX
- Practice address
- 2495 Shreveport Hwy # 71
Pineville, LA 71360-4044 - Phone
- (318) 466-2303
- NPI assigned
- Sep 28, 2006
- Last updated
- Mar 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.A10547.RX | LA | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy # 71
Pineville, LA 71360-4044
Mailing address
PO Box 69004
Alexandria, LA 71306-9004
Phone (318) 466-2303
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.A10547.RX | LA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holloway Rural Medical Clinic LLC. | Past | Accepting new patients | |
| Central Louisiana Imaging, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Alexandria, LA
- NPI 1578561999
-
dba Holloway Rural Health Clinic
- Rural Health Clinic/Center
- Pineville, LA
- NPI 1336217439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1902998008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69004",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713069004",
"telephone_number": "318-466-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY # 71",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-466-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "CHRISTY",
"middle_name": "LEANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "LA",
"license": "PA.A10547.RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.