Individual provider Active NPI

Henri D Chaperon

  • Addiction (Substance Use Disorder) Registered Nurse
  • Orlando, FL
National Provider Identifier
1114572757
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
11015129 Issued in FL
Practice address
5918 Appaloosa Way
Orlando, FL 32822-4213
Phone
(678) 832-5736
NPI assigned
Aug 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000340-P.A. PR
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 11015129 FL Primary

Addresses

Primary practice location

5918 Appaloosa Way
Orlando, FL 32822-4213

Mailing address

5918 Appaloosa Way
Orlando, FL 32822-4213
Phone (678) 832-5736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015129FLMDAddiction (Substance Use Disorder) Registered Nurse
000340-P.A.PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1114572757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 APPALOOSA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224213",
            "telephone_number": "678-832-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 APPALOOSA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224213",
            "telephone_number": "678-832-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPERON",
        "first_name": "HENRI",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "000340-P.A.",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "11015129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.