JENNALEE CHAGIN NP NPI 1730573965

NPI Information

NPI: 1730573965
Provider Name: JENNALEE CHAGIN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
33 NORTH AVE
TALLMADGE, OH
ZIP 44278
Phone: (330) 344-3990
Get Directions

Jennalee Chagin, NP is a family nurse practitioner in Tallmadge, OH with 10 years of experience. Jennalee Chagin, NP NPI is 1730573965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

33 NORTH AVE
TALLMADGE, OH
ZIP 44278-925
Phone: (330) 344-3990
Fax: (330) 634-9433

The NPI 1730573965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 4/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	COA.16982NP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0091231	OTHER	OHIO	PARTNERS PHYSICIAN GROUP MEDICAID GROUP # - URGENT CARES
2	0125272	MEDICAID	OHIO
3	1164814414	OTHER	OHIO	PARTNERS PHYSICIAN GROUP TYPE 2 NPI # - HWE
4	1992138028	OTHER	OHIO	PARTNERS PHYSICIAN GROUP TYPE 2 NPI # - URGENT CARES
5	9338635	OTHER	OHIO	PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
6	H272510	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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