Individual provider Active NPI

Alicia Chin, ARNP

  • Adult Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1467824573
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9200170 Issued in FL
Practice address
500 Vonderburg Dr Ste 310
Brandon, FL 33511-5978
Phone
(813) 685-5500
Fax
(813) 653-1379
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 9200170 FL
Adult Health Nurse Practitioner 363LA2200X ARNP9200170 FL Primary

Addresses

Primary practice location

500 Vonderburg Dr Ste 310
Brandon, FL 33511-5978

Mailing address

10920 Technology Ter
Lakewood Ranch, FL 34211-4930
Phone (941) 757-4810

Other practice location 1

12902 Usf Magnolia Dr
Moffitt Cancer Center - GI Tumor Clinic
Tampa, FL 33612-9416
Phone (813) 745-3946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 9200170FLMDRegistered Nurse
ARNP9200170FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1467824573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 TECHNOLOGY TER",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114930",
            "telephone_number": "941-757-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 310",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115978",
            "telephone_number": "813-685-5500",
            "fax_number": "813-653-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12902 Usf Magnolia Dr",
            "address_2": "Moffitt Cancer Center - GI Tumor Clinic",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336129416",
            "country_code": "US",
            "telephone_number": "813-745-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ALICIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9200170",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9200170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.