Active NPI
Chung Yen Shiau, ARNP
- Family Nurse Practitioner
- Kissimmee, FL
National Provider Identifier
1447728381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11000040
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nona Simple Healthcare LLC | Family | Current | Accepting new patients |
Locations
5454 Hoffner Ave
Ste 105
Orlando, FL 32812
Phone (407) 982-0969
Interoperability endpoints
- https://api.platform.athenahealth.com/25164/brand/1/csg/1/fhir/r4
- 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.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1205507373
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.