NPIMap

Organization Active NPI

Chappel Family Practice LLC

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1306031554
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME36463 Issued in FL
Legal business name
CHAPPEL FAMILY PRACTICE LLC
Practice address
222 Broadway, Suite 302
Kissimmee, FL 34741
Phone
(407) 846-8180
Fax
(407) 347-4858
NPI assigned
Sep 11, 2007
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Ms. Jaime Daniels
Title
Ceo
Phone
(407) 846-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME36463 FL Primary

Addresses

Primary practice location

222 Broadway, Suite 302
Kissimmee, FL 34741

Mailing address

222 Broadway, Suite 302
Kissimmee, FL 34741
Phone (407) 846-8180

Other identifiers 1

IdentifierTypeStateIssuer
002495300MedicaidFL

National Provider Directory

National Provider Directory

Locations

20 S 10th St
Haines City, FL 33844
Phone (863) 422-3567

304 S 10th St
Haines City, FL 33844
Phone (863) 353-6878

222 Broadway
Unit 302
Kissimmee, FL 34741
Phone (407) 846-8180

202 Avenue O NE
Winter Haven, FL 33881
Phone (863) 293-3103

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1306031554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BROADWAY, SUITE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-846-8180",
            "fax_number": "407-347-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BROADWAY, SUITE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-846-8180",
            "fax_number": "407-347-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPPEL FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-846-8180",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME36463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002495300",
            "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 Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.