Basic Information
| Provider Information | |||||||||
| NPI: | 1720571995 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REDDING | ||||||||
| FirstName: | CHANTEE | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 330 ARKANSAS ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660441394 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7858321424 | ||||||||
| FaxNumber: | 7855055260 | ||||||||
| Practice Location | |||||||||
| Address1: | 330 ARKANSAS ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660441394 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7858321424 | ||||||||
| FaxNumber: | 7855055260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2018 | ||||||||
| LastUpdateDate: | 05/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 176B00000X | 742 | NM | N | Other Service Providers | Midwife | 176B00000X | 79456 | KS | N | Other Service Providers | Midwife | 367A00000X | 79456 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.