MR. THEOTIS CHAPPELL APRN NPI 1235817354

NPI Information

  • NPI: 1235817354
  • Provider Name: MR. THEOTIS CHAPPELL, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1172 PELICAN BAY DR
    DAYTONA BEACH, FL
    ZIP 32119
  • Phone: (386) 206-8069

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NPI Details

MR. Theotis Chappell, APRN is a psychiatric/mental health nurse practitioner in Daytona Beach, FL with 4 years of experience. MR. Theotis Chappell, APRN NPI is 1235817354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1172 PELICAN BAY DR
DAYTONA BEACH, FL
ZIP 32119-381
Phone: (386) 206-8069
Fax: (386) 206-8069

The NPI 1235817354 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 7/10/2023 and was last updated on 6/20/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11027332FLORIDAYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN247061GEORGIANo

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
1121313700MEDICAIDFLORIDA

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: 11/21/2025

NPI Synchronization or Removal

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