Juliane Chavez

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9267628 Issued in FL

Practice address

1807 Short Branch Dr Ste 102
Trinity, FL 34655-4424

Phone

(727) 376-3547

Fax

(727) 853-0698

NPI assigned

Oct 1, 2018

Last updated

Oct 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Trinity Family and Sports Medicine PA

  • Sports Medicine (Family Medicine) Physician
  • Trinity, FL
  • NPI 1891991238
  Medicare reassignment NPD

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1275018749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554424",
            "telephone_number": "727-376-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554424",
            "telephone_number": "727-376-3547",
            "fax_number": "727-853-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JULIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9267628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lee Cates Jr., CRNA
• Marijana Cejkova, PA-C
• Center for Physical Therapy Ofshm Inc
• Sebastien Charles
• Hetul Chaudhari, M.B.B.S
• Megha Chawla, MD
• Holly P Chery
• Chidambaram Chinniah, MD
• Keith Gregory Chisholm, MD
• Judy Lynn Chissell, RN

• Adult Health Nurse Practitioner in Trinity, FL
• Providers in Trinity, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.