Provider Demographics
NPI:1578679049
Name:CHIRPAS, LADONNA ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:ANN
Last Name:CHIRPAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7417 PARKSHORE DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-1568
Mailing Address - Country:US
Mailing Address - Phone:304-690-1885
Mailing Address - Fax:
Practice Address - Street 1:906 MAIN AVE
Practice Address - Street 2:
Practice Address - City:TILLAMOOK
Practice Address - State:OR
Practice Address - Zip Code:97141-3816
Practice Address - Country:US
Practice Address - Phone:503-842-8201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60759969363LP0808X
KY4620P363LP2300X
OR201800462NP-PP2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1224219OtherCHA HEALTH
KY000000387134OtherANTHEM BC/BS
KYQ51215Medicare UPIN
KY0675723Medicare ID - Type Unspecified
KY0653324Medicare ID - Type Unspecified
KY0675423Medicare ID - Type Unspecified
KY1224219OtherCHA HEALTH
KY0662426Medicare ID - Type Unspecified
KY0371324Medicare ID - Type Unspecified
KY0675523Medicare ID - Type Unspecified
KY1266962Medicare ID - Type Unspecified
KY0366429Medicare ID - Type Unspecified