Active NPI
Nancy Elena Chavarro, CNA
- Personal Care Attendant
- Kissimmee, FL
National Provider Identifier
1184819344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- CNA86619
- Practice address
- 48 Pine Island Circle
Kissimmee, FL 34743-0000 - Phone
- (407) 348-3194
- Fax
- (407) 348-3194
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | CNA86619 | FL | Primary |
Addresses
Primary practice location
48 Pine Island Circle
Kissimmee, FL 34743-0000
Mailing address
48 Pine Island Circle
Kissimmee, FL 34743-0000
Phone (407) 348-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 692706896 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA86619 | FL | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1184819344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 PINE ISLAND CIRCLE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347430000",
"telephone_number": "407-348-3194",
"fax_number": "407-348-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 PINE ISLAND CIRCLE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347430000",
"telephone_number": "407-348-3194",
"fax_number": "407-348-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVARRO",
"first_name": "NANCY",
"middle_name": "ELENA",
"name_prefix": "Ms.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": "CNA86619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692706896",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.