Individual provider Active NPI

Kaci Chason, ARNP

  • Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1962153544
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11017630 Issued in FL
Practice address
721 E Palmetto St
Lakeland, FL 33801-5581
Phone
(863) 225-1244
Fax
(863) 591-4744
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9347074 FL
Nurse Practitioner 363L00000X 11017630 FL Primary

Addresses

Primary practice location

721 E Palmetto St
Lakeland, FL 33801-5581

Mailing address

721 E Palmetto St
Lakeland, FL 33801-5581
Phone (863) 225-1244

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9347074FLMDRegistered Nurse
11017630FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1962153544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E PALMETTO ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015581",
            "telephone_number": "863-225-1244",
            "fax_number": "863-591-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E PALMETTO ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015581",
            "telephone_number": "863-225-1244",
            "fax_number": "863-591-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASON",
        "first_name": "KACI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9347074",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11017630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.