Individual provider Active NPI

Tamara Clarke Chin, APRN, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1639766793
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010852 Issued in FL
Practice address
7115 NW 44TH St
Coral Springs, FL 33065-2115
Phone
(954) 608-5973
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 11010852 FL Primary

Addresses

Primary practice location

7115 NW 44TH St
Coral Springs, FL 33065-2115

Mailing address

7115 NW 44TH St
Coral Springs, FL 33065-2115

Other practice location 1

2323 S Orange Ave Ste A
Orlando, FL 32806-3059
Phone (407) 418-9999

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
I20210218000670 FL Practitioner - Nurse Practitioner 1052726304 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic/South Florida LLCGroup PAC ID 5496762171, 27 clinicians

Practice addresses (Care Compare)

1205 N University Dr
Coral Springs, FL 33071-6620
Phone (954) 780-8134

9035 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone (954) 378-0333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010852FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr GS Urgent Care LLC CurrentSince Feb 8, 2021 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Mar 18, 2024 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Mar 18, 2024 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 18, 2024 Accepting new patients
West Boynton Urgent Care, LLC CurrentSince Mar 18, 2024 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

2323 S Orange Ave
Ste A
Orlando, FL 32806
Phone (407) 418-9999

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1639766793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 NW 44TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 NW 44TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652115",
            "telephone_number": "954-608-5973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 S Orange Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328063059",
            "country_code": "US",
            "telephone_number": "407-418-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE CHIN",
        "first_name": "TAMARA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-11-06",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.