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CHANTAL ANNETTE-VAN HOUTEN MANHART ARNP NPI 1265576185


NPI Information

NPI: 1265576185
Provider Name: CHANTAL ANNETTE-VAN HOUTEN MANHART, ARNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
1675 BETHANY RD
SUITE C
SYCAMORE, IL
ZIP 60178
Phone: (815) 899-8080
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Chantal Annette-van Houten Manhart, ARNP is an obstetrics and gynecology nurse practitioner in Sycamore, IL with 29 years of experience. Chantal Annette-van Houten Manhart, ARNP NPI is 1265576185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1675 BETHANY RD
SUITE C
SYCAMORE, IL
ZIP 60178-124
Phone: (815) 899-8080
Fax: (815) 899-8002

The NPI 1265576185 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

The enumeration date for this NPI number is 2/16/2007 and was last updated on 3/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209.006994ILLINOISNo
2363LF0000XNurse PractitionerFamilyA-087782IOWANo
3363LX0001XNurse PractitionerObstetrics & GynecologyF-087782IOWANo
4363LX0001XNurse PractitionerObstetrics & Gynecology209.006994ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209.006994OTHERILLINOISILLINOIS LICENSE NUMBER
2F-087782 OR A-087782OTHERIOWAIOWA LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.