MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) – Family Nurse Practitioner, NPI 1003857640

MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) is a healthcare provider. based in Mission, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 600220 (TX). The NPI Number for MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) is 1003857640

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC)
NPI
1003857640
Phone
(956) 585-4704
Address
2013 E GRIFFIN PKWY
Enumeration Date
8 June 2006
Last Update Date
27 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2105231411
Graduation Year
2003 (23 years ago)
PAC ID
6608830385
Group Practice PAC ID
4880657386
Professional Enrollment ID
I20041112000541
Address ID
TX782383302SA6157X410X401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC)

  • 2013 E GRIFFIN PKWY

    MISSION, TX 785723222

    Phone: (956) 585-4704

    Fax: (956) 585-6775

    Type: Mailing

  • 4100, Nightshade Avenue, Ventana del Sol, McAllen, Hidalgo County, Texas, 78504, United States

    MCALLEN, TX 785045428

    Phone: (956) 683-0515

    Fax: (956) 683-1220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041112000541INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78572)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880657386View full group profile
NameSpecialtyState
-ND
Nurse PractitionerTX
Nurse PractitionerTX
-TX
-TX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC)?
MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) — NPI 1003857640 — is the standard way to identify this listing.
Is MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) still practicing?
MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) is currently listed as active in the public NPI registry.
What is MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC)'s specialty?
The listing groups MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) based?
MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) is tied to Mission, Texas in the data we show; additional addresses may exist on the full record.
Is the information about MRS. CHANIDA GNAYONG TAUTHONG (FNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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