CHARLIE JORDAN CHANEY (NPI# 1629116546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629116546 |
| Entity Type | Individual |
| Full Name | CHARLIE JORDAN CHANEY |
| Credential | APN |
| Practice Address |
500 W 10th St Wilmington DE 19801-1422 |
| Practice Telephone | 3029843380 |
| Practice Fax Number | 3026910475 |
| Mailing Telephone | 3029843380 |
| Mailing Fax Number | 3026910475 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
LE-0000160 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000022914 | 05 |
| Street Address |
500 W 10TH ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003846163 | Ranga Nathan Ram | Psychiatry & Neurology | 500 W 10th St, Connections Csp Inc, Wilmington, DE 19801-1422 | 2006-07-04 |
| 1831560283 | Christopher Park | Social Worker | 500 W 10th St, Wilmington, DE 19801-1422 | 2015-10-12 |
| 1447642533 | Francine Greene | Counselor | 500 W 10th St, Wilmington, DE 19801-1422 | 2015-02-26 |
| 1770975039 | Lauren Blair | Social Worker | 500 W 10th St, Wilmington, DE 19801-1422 | 2015-02-24 |
| 1194120089 | Susan P Barkauskie | Nurse Practitioner | 500 W 10th St, Wilmington, DE 19801-1422 | 2014-11-04 |
| 1013312388 | Lisa Mae Shaffer | Counselor | 500 W 10th St, Wilmington, DE 19801 | 2014-10-29 |
| 1285034769 | Douglas Pettiford | Counselor | 500 W 10th St, Wilmington, DE 19801-1422 | 2014-09-03 |
| 1366859969 | Meagan Iwaskiewicz | Counselor | 500 W 10th St, Wilmington, DE 19801-1422 | 2014-07-15 |
| 1194130096 | Jill Walters | Counselor | 500 W 10th St, Wilmington, DE 19801-1422 | 2014-06-30 |
| 1639593700 | Jennifer Williams | Counselor | 500 W 10th St, Wilmington, DE 19801-1422 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962618686 | Margaret (peggy) M Mack | Clinical Nurse Specialist | 10 Guyenne Rd, Wilmington, DE 19807-1414 | 2007-05-16 |
| 1467779256 | Guilford Robert Hurst | Clinical Nurse Specialist | 500 W 10th St, Wilmington, DE 19801-1422 | 2010-05-03 |
| 1124291133 | Rebecca Benson | Clinical Nurse Specialist | 5700 Kirkwood Hwy, Suite 107, Wilmington, DE 19808-4857 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043461627 | Caren Michelle Coffy-mccormick | Clinical Nurse Specialist | 292 Carter Dr, Suite B, Middletown, DE 19709-5846 | 2008-10-01 |
| 1366509325 | Lucille A Gambardella | Clinical Nurse Specialist | 33086 E Light Dr, Lewes, DE 19958-4668 | 2007-01-02 |
| 1942432281 | David W. Lipscomb | Clinical Nurse Specialist | 774 Christiana Rd, Suite 210b, Newark, DE 19713-4236 | 2009-08-20 |
| City | WILMINGTON |
| Zip Code | 19801 |
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| 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.