Healthcare Provider Details

I. General information

NPI: 1720571995
Provider Name (Legal Business Name): CHANTEE REDDING CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 ARKANSAS ST STE 300
LAWRENCE KS
66044-1394
US

IV. Provider business mailing address

330 ARKANSAS ST STE 300
LAWRENCE KS
66044-1394
US

V. Phone/Fax

Practice location:
  • Phone: 785-832-1424
  • Fax: 785-505-5260
Mailing address:
  • Phone: 785-832-1424
  • Fax: 785-505-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number79456
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number742
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number79456
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: