Active NPI
Larry Chandler
- Community Health Registered Nurse
- Payette, ID
National Provider Identifier
1982180915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 089003141RN
- Practice address
- 8512 Washoe Rd
Payette, ID 83661-5424 - Phone
- (208) 405-5297
- NPI assigned
- Jul 12, 2018
- Last updated
- Jul 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 089003141RN | OR | Primary |
Addresses
Primary practice location
8512 Washoe Rd
Payette, ID 83661-5424
Mailing address
8512 Washoe Rd
Payette, ID 83661-5424
Phone (208) 405-5297
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089003141RN | OR | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1982180915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8512 WASHOE RD",
"city": "PAYETTE",
"state": "ID",
"postal_code": "836615424",
"telephone_number": "208-405-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8512 WASHOE RD",
"city": "PAYETTE",
"state": "ID",
"postal_code": "836615424",
"telephone_number": "208-405-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "LARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "089003141RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Payette, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.