Individual provider Active NPI

Chung Yen Shiau, ARNP

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1447728381
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000040 Issued in FL
Practice address
5308 W Irlo Bronson Hwy
Kissimmee, FL 34746-4754
Phone
(407) 390-9431
NPI assigned
Nov 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000040 FL Primary

Addresses

Primary practice location

5308 W Irlo Bronson Hwy
Kissimmee, FL 34746-4754

Mailing address

13198 Looking Glass Falls LN
Orlando, FL 32824-4350
Phone (407) 982-0969

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
I20190206000290 FL Practitioner - Nurse Practitioner 6608114285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10617 Woodrow Dr
Orlando, FL 32832-7170
Phone (407) 982-0969

5454 Hoffner Ave
Suite 105
Orlando, FL 32812-2516
Phone (407) 982-0969

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nona Simple Healthcare LLC Family CurrentSince Jan 1, 2022 Accepting new patients

Locations

5454 Hoffner Ave
Ste 105
Orlando, FL 32812
Phone (407) 982-0969

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25164/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chung.shiau.1@25164.direct.athenahealth.com

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1447728381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13198 LOOKING GLASS FALLS LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244350",
            "telephone_number": "407-982-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 W IRLO BRONSON HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464754",
            "telephone_number": "407-390-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIAU",
        "first_name": "CHUNG",
        "middle_name": "YEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.