MAMTA CHANDAK (NPI# 1699238675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699238675 |
| Entity Type | Individual |
| Full Name | MAMTA CHANDAK |
| Practice Address |
101 Cabarrus Ave E Ste 200 Concord NC 28025-3781 |
| Practice Telephone | 8888497379 |
| Practice Fax Number | 8558577333 |
| Mailing Telephone | 8888497379 |
| Mailing Fax Number | 8558577333 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011646 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 CABARRUS AVE E STE 200 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740277243 | Ronald Steven Mcdonald | Internal Medicine | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2005-09-30 |
| 1477196665 | Qadirah Francine Mease | Nurse Practitioner | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-10-21 |
| 1871140319 | Noni Gazelle Jefferson | Registered Nurse | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-08-20 |
| 1639725658 | Andrea Jean Kohlman | Nurse Practitioner | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-08-15 |
| 1487206918 | Margaret Anne Wienclaw | Social Worker | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-07-15 |
| 1982256475 | Bryson Kennedy | Registered Nurse | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-07-15 |
| 1679133409 | Ashlyne Burris Anderson | Nurse Practitioner | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-06-14 |
| 1518526649 | Olyvia Nicole Ray | Registered Nurse | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-06-12 |
| 1871159707 | Leslie D Williams | Nurse Practitioner | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-05-16 |
| 1780247932 | Tiara Bianca Wiley-king | Nurse Practitioner | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041927 | Kayla Norman | Nurse Practitioner | 827 Gaulding Rd, Concord, GA 30206-2258 | 2020-04-13 |
| 1982246534 | Josephine Akih Ojong Fongoh | Nurse Practitioner | 7395 Millstone Cir Sw, Concord, NC 28025-0005 | 2019-10-16 |
| 1356995187 | Lyndsey Michele Vallee | Nurse Practitioner | 10 Ferry St Ste 201, Concord, NH 03301-5081 | 2019-07-30 |
| 1215580923 | Zoe J. Owers | Nurse Practitioner | 248 Pleasant St Ste 2600, Concord, NH 03301-7529 | 2019-07-22 |
| 1659834984 | Alisha Hudson Eudy | Nurse Practitioner | 2934 Walter Dr Nw, Concord, NC 28027-5562 | 2019-04-12 |
| 1831674647 | Rebecca C Diamond | Nurse Practitioner | 24 Bridge St Ste 9, Concord, NH 03301-4922 | 2018-09-27 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1295272565 | Jasmin Moultrie | Nurse Practitioner | 2095 Diamond Blvd, Concord, CA 94520-5832 | 2017-01-25 |
| 1417406976 | Lena Lax | Nurse Practitioner | 185 Central St, Concord, MA 01742-2909 | 2016-09-26 |
| 1760834857 | Sheri N. Davis | Nurse Practitioner | 11005 Heber Springs Rd N, Concord, AR 72523-9561 | 2016-07-13 |
| Find all providers in CONCORD | ||||
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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.