Individual provider Active NPI

Rattiya Amy Wongsarnpigoon, ANP-BC

  • Adult Health Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1952532830
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5004464 Issued in NC
Practice address
Campus Health Services
James a. Taylor Building; 320 Emergency Room Drive
Chapel Hill, NC 27599-0001
Phone
(919) 966-2281
Fax
(919) 966-0616
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5004464 NC Primary

Addresses

Primary practice location

Campus Health Services
James a. Taylor Building; 320 Emergency Room Drive
Chapel Hill, NC 27599-0001

Mailing address

Campus Health Services
James a. Taylor Building; 320 Emergency Room Drive
Chapel Hill, NC 27599-0001
Phone (919) 966-2281

Other names 1

  • Rattiya Amy Chamkasem Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5004464NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Adult and Pediatric Medicine, Inc. Past Accepting new patients
Triad Adult and Pediatric Medicine, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1952532830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMPUS HEALTH SERVICES",
            "address_2": "JAMES A. TAYLOR BUILDING; 320 EMERGENCY ROOM DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-2281",
            "fax_number": "919-966-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMPUS HEALTH SERVICES",
            "address_2": "JAMES A. TAYLOR BUILDING; 320 EMERGENCY ROOM DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-2281",
            "fax_number": "919-966-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONGSARNPIGOON",
        "first_name": "RATTIYA",
        "middle_name": "AMY",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RATTIYA",
            "last_name": "CHAMKASEM",
            "middle_name": "AMY",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.