Individual provider Active NPI

Chilline Rossignol

  • Licensed Practical Nurse
  • Greenacres, FL
National Provider Identifier
1700329604
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5193444 Issued in FL
Practice address
124 Woodlake Cir
Greenacres, FL 33463-3082
Phone
(561) 901-8038
Fax
(561) 327-4002
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5193444 FL Primary

Addresses

Primary practice location

124 Woodlake Cir
Greenacres, FL 33463-3082

Mailing address

124 Woodlake Cir
Greenacres, FL 33463-3082
Phone (561) 901-8038

Other identifiers 1

IdentifierTypeStateIssuer
164W00000XMedicaidFL

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN5193444FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1700329604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WOODLAKE CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633082",
            "telephone_number": "561-901-8038",
            "fax_number": "561-327-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WOODLAKE CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633082",
            "telephone_number": "561-901-8038",
            "fax_number": "561-327-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIGNOL",
        "first_name": "CHILLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5193444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164W00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.