Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
LAURA KELLY CHISM
Active
Individual
LAURA KELLY CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305963
ANTHEM
KY
01
—
000000861403
ANTHEM-NSS
KY
01
—
158653
SIHO-NSS
KY
01
—
2444403000
PASSPORT ADVANTAGE
KY
01
—
50002937
PASSPORT
KY
01
—
50064974
PASSPORT-NSS
KY
05
—
78004108
—
KY
Enumeration date
07/07/2005
Last updated
08/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers