Active NPI
Lisa Chin-Lue, M.D.
- Family Medicine Physician
- Palm Harbor, FL
National Provider Identifier
1437167533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 105750
- Practice address
- 3569 Shoreline Cir
Palm Harbor, FL 34684-1744 - Phone
- (917) 326-1203
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 044470 | CT | |
| General Practice Physician | 208D00000X | 105750 | FL | |
| Family Medicine Physician | 207Q00000X | 105750 | FL | Primary |
Addresses
Primary practice location
3569 Shoreline Cir
Palm Harbor, FL 34684-1744
Mailing address
3569 Shoreline Cir
Palm Harbor, FL 34684-1744
Phone (917) 326-1203
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044470 | CT | MD | Specialist |
| 105750 | FL | MD | Family Medicine Physician |
Organizations & group practices 1
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": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1437167533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 SHORELINE CIR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841744",
"telephone_number": "917-326-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 SHORELINE CIR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841744",
"telephone_number": "917-326-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN-LUE",
"first_name": "LISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "044470",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "105750",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "105750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.