Individual provider Active NPI

Chianta Shaw Lindsey, ARNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1346360492
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3084302 Issued in FL
Practice address
232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone
(407) 428-5751
Fax
(407) 447-7245
NPI assigned
Mar 30, 2007
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 384302 FL
Nurse Practitioner 363L00000X ARNP3084302 FL Primary

Addresses

Primary practice location

232 N Orange Blossom TRL
Orlando, FL 32805-1612

Mailing address

37912 Church Ave
Dade City, FL 33525-4207
Phone (352) 518-2000

Other identifiers 1

IdentifierTypeStateIssuer
305954500MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000179 FL Practitioner - Nurse Practitioner 8820021009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

2507 Thonotosassa Rd
Plant City, FL 33563-1464
Phone (813) 608-3101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
384302FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group Past Accepting new patients
Primary Care Specialists LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1346360492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37912 CHURCH AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254207",
            "telephone_number": "352-518-2000",
            "fax_number": "407-447-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051612",
            "telephone_number": "407-428-5751",
            "fax_number": "407-447-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "CHIANTA",
        "middle_name": "SHAW",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "384302",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3084302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305954500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.