KYANDRA DELAWARE CHANDLER
NPI 1275116188
Student in an Organized Health Care Education/Training Program in Provo, UT

Q: What is Kyandra Chandler's NPI number?

The NPI number for Kyandra Chandler is 1275116188. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Kyandra Chandler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Kyandra Chandler enrolled in Medicare?

No. Kyandra Chandler has opted out of Medicare through January 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kyandra Chandler was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2021Opted out of Medicare · through Jan 10, 2027

750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-9656(801) 852-4737 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Kyandra Delaware Chandler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYANDRA DELAWARE CHANDLER (NPI 1275116188) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since April 2021. She has opted out of Medicare through January 10, 2027.

NPPES Registry Identity

NPI1275116188

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKYANDRA DELAWARE CHANDLER

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-9656 · Fax (801) 852-4737

Phone(801) 373-9656

Fax(801) 852-4737

Sole ProprietorNo

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1275116188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

750 N FREEDOM BLVD, Provo, UT 84601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kyandra Delaware Chandler has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2025 through January 10, 2027.

Opt-Out Effective DateJanuary 10, 2025

Opt-Out In Effect ThroughJanuary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZA RACHELLE GEDGE PH.D., LP

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