Flordeliza Ablao-Chanthavichith, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024167161 Issued in VA

Practice address

3235 Academy Ave
Suite 305
Portsmouth, VA 23703-3200

Phone

(757) 686-9300

Fax

(757) 686-1514

NPI assigned

Jan 18, 2007

Last updated

Oct 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sleepmed Hampton Roads LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Portsmouth, VA
  • NPI 1982724522
  NPD (past)
• Tidewater Neurologists Inc, PC

  dba Tidewater Neurologists and Sleep Disorder Specialist, inc

  • Neurology Physician
  • Portsmouth, VA
  • NPI 1689623258
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1003968884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 GUARDIAN LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527327",
            "telephone_number": "757-463-5240",
            "fax_number": "757-463-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 305",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-686-9300",
            "fax_number": "757-686-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLAO-CHANTHAVICHITH",
        "first_name": "FLORDELIZA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003968884",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amutallah Abdussalaam, AGNP-C
• Kimberly Ann Abernathy, PMHNP
• Renee Brianna Abernathy
• Abilities Beyond Disabilities LLC (ABD Mentoring Services)
• Ability Home Health Care LLC
• Christina Abraham, PHARMD
• Abs Lincs VA (First Home Care)
• Absolute Home Care LLC (Absolute Home Care)
• Adebunmi Oluwaseun Aburo
• Aca Home Healthcare LLC. (A Call Away Home Health Care LLC.)

• Nurse Practitioner in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.