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CHANEL ERICSSON MD
NPI 1639017734
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 23, 2026
1701 W CHARLESTON BLVD STE 590, LAS VEGAS, NV 89102(702) 992-6875 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanel Ericsson Md NPPES

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

CHANEL ERICSSON MD (NPI 1639017734) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1639017734
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHANEL ERICSSONCredential: MD
Location Address1701 W CHARLESTON BLVD STE 590Las Vegas, NV 89102-2396
Mailing Address1701 W Charleston Blvd Ste 590Las Vegas, NV 89102-2396
Phone(702) 992-6875
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1639017734 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.
1701 W CHARLESTON BLVD STE 590, Las Vegas, NV 89102
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Other Providers at the Same Location NPPES 15

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

HOVSEP STAMBULYAN MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6888
STEVEN DAVIS
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6875
RAVLEEN KAUR NAGRA
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6875
JASON HAGOP DORIAN DO
Family Medicine
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6888
JOHN BRACKETT
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6875
DR. JAINEET SINGH CHHABRA MD
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6888
ISAIAH ADESON D.O.
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6878
DR. HANNAH SKENDZIEL DO
Student in an Organized Health Care Education/Training Program
1701 W CHARLESTON BLVD STE 590
LAS VEGAS, NV 89102
Clark County (702) 992-6875

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 Chanel Ericsson's NPI number?

The NPI number for Chanel Ericsson is 1639017734. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Chanel Ericsson located?

Chanel Ericsson practices at 1701 W Charleston Blvd Ste 590, Las Vegas, NV 89102. The listed phone number is (702) 992-6875.

What is Chanel Ericsson's specialty?

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

When was this NPI record last updated?

The NPPES record for Chanel Ericsson was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.