Individual provider Active NPI

Chinah Marie Oswalt, NP

  • Registered Nurse
  • Tupelo, MS
National Provider Identifier
1972277440
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
909426 Issued in MS
Practice address
144 S Thomas St
Tupelo, MS 38801-5312
Phone
(662) 844-2417
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 909426 MS Primary

Addresses

Primary practice location

144 S Thomas St
Tupelo, MS 38801-5312

Mailing address

108 Prinston St
Saltillo, MS 38866-5724
Phone (662) 610-3842

Other practice location 1

108 Prinston St
Saltillo, MS 38866-5724
Phone (662) 610-3842

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
909426MSMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1972277440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PRINSTON ST",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388665724",
            "telephone_number": "662-610-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-844-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Prinston St",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388665724",
            "country_code": "US",
            "telephone_number": "662-610-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSWALT",
        "first_name": "CHINAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "909426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.