Chantal C Sy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024141 Issued in CA

Practice address

109 N El Camino Real # 9
Encinitas, CA 92024-2802

Phone

(619) 293-7233

NPI assigned

Jan 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Revive Salon and Spa

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1619415072
  NPD (past)

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1568053908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21770 DEVERON CV",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872662",
            "telephone_number": "714-423-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N EL CAMINO REAL # 9",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242802",
            "telephone_number": "619-293-7233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5965 Village Way # E207",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302475",
            "country_code": "US",
            "telephone_number": "619-293-7233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SY",
        "first_name": "CHANTAL",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Swanson
• Jane M. Sweeney, PH.D.
• Xing Hua Swieson
• Alan Lee Switzer, MFT
• Vicki Lynn Switzer, MFT
• Jamin Sarah Sylvada, LM, CPM
• Synergy Orthopedic Specialists, Inc.
• Synergy Orthopedic Specialists, Inc.
• Keven Tagdiri, M.D.
• Jennifer Tai, LAC, DACCHM, DIPL.OM

• Family Nurse Practitioner in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.

Verify at the official NPI Registry.