Individual provider Active NPI

Chantel Byrd

  • Adult Health Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1275931628
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704269422 Issued in MI
Practice address
15800 SW 25TH St
Miramar, FL 33027-4222
Phone
(888) 914-2201
NPI assigned
Dec 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704269422 MI Primary
Adult Health Nurse Practitioner 363LA2200X 14281 CT

Addresses

Primary practice location

15800 SW 25TH St
Miramar, FL 33027-4222

Mailing address

35466 Valley CRK
Farmington Hills, MI 48335-3946
Phone (313) 258-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY, CT, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150716000558 MI Practitioner - Nurse Practitioner 4082927322 Reassigns benefits to 1 organization
I20240620000335 KY Practitioner - Nurse Practitioner 4082927322 Reassigns benefits to 1 organization
I20250506000768 CT Practitioner - Nurse Practitioner 4082927322 Reassigns benefits to 1 organization
I20260206003218 CA Practitioner - Nurse Practitioner 4082927322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

200 Oceangate
Suite 100
Long Beach, CA 90802-4317

723 Winchester Ave
Lincoln Park, MI 48146-4620

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704269422MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jun 10, 2019 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Jan 23, 2026 Accepting new patients
Molina Healthcare of California CurrentSince Jan 23, 2026 Accepting new patients
Integrated Physician Solutions PC PastSince Feb 7, 2018 Accepting new patients
Mme Enterprises Inc PastSince Aug 19, 2016 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

Interoperability endpoints

  • Direct secure messaging: cbyrd9860@direct-prd.molinahealthcare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1275931628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35466 VALLEY CRK",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353946",
            "telephone_number": "313-258-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 SW 25TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274222",
            "telephone_number": "888-914-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "CHANTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704269422",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "14281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.