STEPHANIE CHIN NP NPI 1720459407

NPI Information

NPI: 1720459407
Provider Name: STEPHANIE CHIN, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
78 MEDICAL CENTER DRIVE
HEART & VASCULAR CENTER, FLR 2
FISHERSVILLE, VA
ZIP 22939
Phone: (540) 245-7080
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Stephanie Chin, NP is an acute care nurse practitioner in Fishersville, VA. Stephanie Chin, NP NPI is 1720459407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

78 MEDICAL CENTER DRIVE
HEART & VASCULAR CENTER, FLR 2
FISHERSVILLE, VA
ZIP 22939
Phone: (540) 245-7080
Fax: (540) 245-7081

The NPI 1720459407 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 10/7/2015 and was last updated on 7/21/2022.

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	363LA2100X	Nurse Practitioner	Acute Care	5008069	NORTH CAROLINA	No
2	363LA2100X	Nurse Practitioner	Acute Care	0024174680	VIRGINIA	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	1720459407	MEDICAID	VIRGINIA
2	5008069	OTHER	NORTH CAROLINA	NORTH CAROLINA BOARD OF NURSING
3	NP3495	MEDICAID	SOUTH CAROLINA

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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