CHANTELLE NILES (NPI# 1033668967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033668967 |
| Entity Type | Individual |
| Full Name | CHANTELLE NILES |
| Credential | PA |
| Practice Address |
830 Elm St Minneapolis KS 67467 |
| Practice Telephone | 7853922144 |
| Practice Fax Number | 7853923231 |
| Mailing Telephone | 7853922144 |
| Mailing Fax Number | 7853923231 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 15-01944 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-01944 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201143430B | 05 |
| Street Address |
830 ELM ST |
| City | MINNEAPOLIS |
| State | KS |
| Zip Code | 67467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063477297 | Bruce L Labes | Family Medicine | 830 Elm St, Minneapolis, KS 67467-1608 | 2006-04-19 |
| 1659632495 | Patricia Little | Family Medicine | 830 Elm St, Salina Regional Health Center Dba Comcare, Minneapolis, KS 67467-1608 | 2012-06-07 |
| 1467418210 | Michelle R Labes | Nurse Practitioner | 830 Elm St, Minneapolis, KS 67467-1608 | 2006-04-21 |
| 1417912643 | Kelly E Yoxall | Family Medicine | 830 Elm St, Minneapolis, KS 67467-1608 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841152 | Minneapolis Healthcare and Rehabilitation Center LLC | Skilled Nursing Facility | 815n Rothsay Street, Minneapolis, KS 67467 | 2020-11-06 |
| 1366413791 | Fred V Hargis Jr. | Dentist | 311 N Mill St, Minneapolis, KS 67467 | 2006-02-01 |
| 1235394974 | Fred V Hargis Jr Dds | Dentist | 311 N Mill St, Minneapolis, KS 67467 | 2008-07-22 |
| 1629200167 | Lisa Ann Metzen | Dentist | 201 W. 2nd St., Minneapolis, KS 67467-0343 | 2009-08-18 |
| 1811901192 | County of Ottawa | Hospice Care, Community Based | 817a Argyle Ave, Minneapolis, KS 67467-1621 | 2006-07-29 |
| 1497763965 | County of Ottawa | Public Health or Welfare | 817a Argyle Ave, Minneapolis, KS 67467-1621 | 2006-08-03 |
| 1649251042 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 815 N Rothsay Ave, Minneapolis, KS 67467-1637 | 2005-11-11 |
| 1972098853 | Minneapolis Ks Opco LLC | Skilled Nursing Facility | 815 N Rothsay Ave, Minneapolis, KS 67467-1637 | 2018-06-24 |
| 1790286284 | Erica Mctaggart Cpta | Physical Therapy Assistant | 815 N Rothsay Ave, Minneapolis, KS 67467-1637 | 2018-02-21 |
| 1912213679 | Deandra Kay Wahl | Occupational Therapist | 815 N Rothsay Ave, Minneapolis, KS 67467-1637 | 2010-08-19 |
| Find all providers in zip 67467 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1588998744 | Regional Physician Services of Minnesota PC | Physician Assistant | 100 S 5th St Fl 19, Minneapolis, MN 55402-1210 | 2009-09-21 |
| 1295983203 | Millicent Julia Marwa | Physician Assistant | 2711 E Franklin Avenue, Minneapolis, MN 55406 | 2008-09-03 |
| 1134389646 | Jesse G Powell | Physician Assistant | 701 Park Ave Mail Code:01, Minneapolis, MN 55415-1829 | 2008-06-10 |
| 1003013137 | Meghan Elizabeth Brant | Physician Assistant | 2603 39th Ave Ne Ste D202, Minneapolis, MN 55421-4372 | 2007-07-02 |
| 1194880591 | Katherine J Huntington | Physician Assistant | 3017 Bloomington Ave, Minneapolis, MN 55407-1715 | 2006-12-26 |
| 1558323352 | Sarah Anne Bolstad | Physician Assistant | 920 E 28th St Ste 700, Minneapolis, MN 55407-1163 | 2006-04-05 |
| 1043281678 | Mark Winkler | Physician Assistant | 715 S 8th St, Minneapolis, MN 55404 | 2006-01-31 |
| 1679047310 | Caitlin Ann Hiniker | Physician Assistant | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-01-16 |
| 1871094086 | David Masterman | Physician Assistant | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-02-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 67467 |
Please comment or provide details below to improve the information on CHANTELLE NILES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.