Provider Demographics
NPI:1477345403
Name:CHAPIN BAIR, JODI RENEA
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:RENEA
Last Name:CHAPIN BAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 S 56TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1825
Mailing Address - Country:US
Mailing Address - Phone:402-540-7280
Mailing Address - Fax:
Practice Address - Street 1:4730 S 56TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1825
Practice Address - Country:US
Practice Address - Phone:402-540-7280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant