Chelsea Nichon Collection LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

CHELSEA NICHON COLLECTION LLC

Practice address

8005 Fleur de Lis Dr
Jacksonville, FL 32277-0904

Phone

(904) 575-6208

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Chelsea Nichon Smith

Title

Owner

Phone

(904) 575-6208

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1972195824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 SOUTHSIDE BLVD APT 144",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567075",
            "telephone_number": "904-575-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 FLEUR DE LIS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322770904",
            "telephone_number": "904-575-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA NICHON COLLECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "NICHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-575-6208"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chelseanichon_collection",
            "affiliation": "N",
            "endpointDescription": "instagram",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text and photos",
            "address_1": "8005 Fleur De Lis Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322770904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetics Case Management in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.