Active NPI
Cynthia Chinwendu Chiaku
- Family Nurse Practitioner
- New Port Richey, FL
National Provider Identifier
1255963070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11004581
- Practice address
- 5957 Rowan Rd
New Port Richey, FL 34653-4531 - Phone
- (352) 518-2000
- NPI assigned
- Feb 10, 2020
- Last updated
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11004581 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11004581 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11004581 | FL |
Addresses
Primary practice location
5957 Rowan Rd
New Port Richey, FL 34653-4531
Mailing address
5561 Sweet William Ter
Land O Lakes, FL 34639-2851
Phone (941) 264-5762
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004581 | FL | MD | Nurse Practitioner |
| APRN11004581 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Community Healthcare Group, Inc. | Current | Accepting new patients | |
| Premier Community Healthcare Group Inc | Current | Accepting new patients |
Locations
14027 5th St
Dade City, FL 33525
Phone (813) 782-6064
5957 Rowan Rd
New Port Richey, FL 34653
Phone (727) 645-4185
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Dade City, FL
- NPI 1841263399
-
- Federally Qualified Health Center (FQHC)
- Zephyrhills, FL
- NPI 1508445362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1255963070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5561 SWEET WILLIAM TER",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346392851",
"telephone_number": "941-264-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5957 ROWAN RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346534531",
"telephone_number": "352-518-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIAKU",
"first_name": "CYNTHIA",
"middle_name": "CHINWENDU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11004581",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11004581",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11004581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
- Cheryl Ann Champagne, MS
- Chapters Health Home Care, LLC (Chapters Health Home Care)
- Kathleen J Chaykosky, MS
- Chen-Sien Hu M D P a
- Steven Cheung, D.P.T
- Childbirth Options, LLC (Childbirth Options - New Port Richey)
- Children and Teen Dental Group of Florida (Palm Tree Dentistry)
- Children and Teen Ortho Group of Florida
- Children's Orthopaedic & Scoliosis Surgery Associates, LLP
- Children's Speech Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.