Rezwana Chowdhury

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11048314 Issued in FL

Practice address

155 Tidal Beach Ave
St Augustine, FL 32095-0147

Phone

(804) 852-2497

NPI assigned

Jun 22, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1003742750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TIDAL BEACH AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TIDAL BEACH AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950147",
            "telephone_number": "804-852-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "REZWANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11048314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiro & Laser Pain Relief Center of St Augustine LLC
• Chiro & Laser St. Augustine, PLLC
• Christy M Chong, ARNP
• Kok L. Chong, MD
• Kye Im Chong, MD
• Susan Therese Christ, MD
• Frederick Michael Christensen, AU.D.
• Penny Christian
• Jennifer Anne Christie, ATC,LAT
• Kristin D Christopher, MS,. PROF., RMHCI

• Family Nurse Practitioner in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.