CHANDLER OUTREACH CLINIC LLC
NPI 1528955978
Physician Assistant in Chandler, OK
NPI Status: Active since June 19, 2025
Contact Information
1116 MANVEL AVE
CHANDLER, OK
ZIP 74834
Phone: (405) 258-5252
- Organization
- Physician Assistant
- CLIA Number: 37D1023912
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-31-2028
About CHANDLER OUTREACH CLINIC LLC
This page provides the complete NPI Profile along with additional information for Chandler Outreach Clinic Llc, a primary care provider established in Chandler, Oklahoma operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1528955978 assigned on June 2025. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Chandler Outreach Clinic Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kristin L Sells (Owner)
- NPI
- 1528955978
- Provider Name
- CHANDLER OUTREACH CLINIC LLC
- Entity Type
- Organization
- Location Address
- 1116 MANVEL AVE CHANDLER, OK 74834
- Location Phone
- (405) 258-5252
- Mailing Address
- 1116 MANVEL AVE CHANDLER, OK 74834
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2025
- Last Update Date
- 06-19-2025
- Code Navigator
A primary care provider (PCP) like Chandler Outreach Clinic Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D1023912
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 01, 2026
- Certificate Expiration Date
- March 31, 2028
- Laboratory Director
- KRISTIN SELLS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Chandler Outreach Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1528955978, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528955978, enumerated as an "organization" on June 19, 2025.
The provider is located at 1116 MANVEL AVE CHANDLER, OK 74834 and the phone number is (405) 258-5252.
Physician Assistant with taxonomy code 363A00000X.
