Phomello P Chinheya, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11005583 Issued in FL

Practice address

1205 Dr Martin L King Jr Way
Haines City, FL 33844-3490

Phone

(863) 353-6853

NPI assigned

Feb 27, 2020

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26688/brand/1/csg/1/fhir/r4

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

• Maria Nina Concepcion MD PA

  dba Family Care

  • Family Medicine Physician
  • Davenport, FL
  • NPI 1184870016
  Medicare reassignment NPD
• Parkview Outreach Community Center

  • Voluntary or Charitable Agency
  • Haines City, FL
  • NPI 1487968806
  NPD (past)

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1205460367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 RONSHELLE AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446399",
            "telephone_number": "407-234-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DR MARTIN L KING JR WAY",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443490",
            "telephone_number": "863-353-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINHEYA",
        "first_name": "PHOMELLO",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11005583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champions Integrated Behavioral Health LLC
• Seanquanee Denazia Chandler, HHA
• Siobhan Charles-Needham, MSW, LCSW
• Eduardo Jesus Chico
• Children Achieving Milestones Therapy Services Inc (Children Achieving MIlestones Therpay Services)
• Chirag Bakulesh Patel MD PA
• Chosen ABA LLC
• Steven J Ciaravino, DDS
• Linda C Clark, R.PH.
• Cloud Chiropractic of Haines City

• Primary Care Nurse Practitioner in Haines City, FL
• Providers in Haines City, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.