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CHANDLER OUTREACH CLINIC LLC
NPI 1528955978
Physician Assistant in Chandler, OK

Active since June 19, 2025CLIA 37D1023912 · Waiver
1116 MANVEL AVE, CHANDLER, OK 74834(405) 258-5252 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chandler Outreach Clinic Llc NPPES

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

CHANDLER OUTREACH CLINIC LLC (NPI 1528955978) is a healthcare organization registered as a physician assistant in Chandler, Oklahoma and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Kristin L Sells, Owner, as its authorized official.

NPPES Registry Identity

NPI1528955978
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCHANDLER OUTREACH CLINIC LLC
Location Address1116 MANVEL AVEChandler, OK 74834-3856
Mailing Address1116 Manvel AveChandler, OK 74834-3856
Phone(405) 258-5252
Organization SubpartNo
Authorized OfficialKristin L SellsOwner · (405) 258-5252
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1528955978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1116 MANVEL AVE, Chandler, OK 74834
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1023912

Chandler Outreach Clinic · Chandler, OK
Active · expires Mar 31, 2028
CLIA Number37D1023912
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorKristin Sells
Laboratory Phone(405) 258-5252
Laboratory LocationChandler Outreach Clinic1116 Manvel, Chandler, OK 74834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

STILLWATER MEDICAL CENTER AUTHORITY
Clinic/Center (Rural Health)
1116 MANVEL AVE
CHANDLER, OK 74834
Lincoln County (405) 258-5252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandler Outreach Clinic LLC's NPI number?

The NPI number for Chandler Outreach Clinic LLC is 1528955978. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Chandler Outreach Clinic LLC located?

Chandler Outreach Clinic LLC is located at 1116 Manvel Ave, Chandler, OK 74834. The listed phone number is (405) 258-5252.

What is Chandler Outreach Clinic LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Chandler Outreach Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1023912) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chandler Outreach Clinic LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.