1558374934 NPI number — MS. DINEEN DEE CHAPPELL RN CNOR RNFA

Table of content: MS. DINEEN DEE CHAPPELL RN CNOR RNFA (NPI 1558374934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558374934 NPI number — MS. DINEEN DEE CHAPPELL RN CNOR RNFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAPPELL
Provider First Name:
DINEEN
Provider Middle Name:
DEE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN CNOR RNFA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558374934
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11302 FALLBROOK DR
Provider Second Line Business Mailing Address:
SUITE 305
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77065-4265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-237-6500
Provider Business Mailing Address Fax Number:
832-237-6510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10566 STEEPLETOP DR
Provider Second Line Business Practice Location Address:
CYPRESS FAIRBANKS MED CNTR
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77065-4235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-537-5559
Provider Business Practice Location Address Fax Number:
281-537-1288
Provider Enumeration Date:
08/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WM0705X , with the licence number:  458319 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163WR0006X , with the licence number: 458319 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7993261 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0081HT . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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