Individual provider Active NPI

Tiffny Chilampath, ARNP

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1710421052
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9288246 Issued in FL
Practice address
10464 SW 18TH St
Davie, FL 33324-7437
Phone
(954) 562-1015
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 9288246 FL Primary

Addresses

Primary practice location

10464 SW 18TH St
Davie, FL 33324-7437

Mailing address

10464 SW 18TH St
Davie, FL 33324-7437
Phone (954) 562-1015

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
I20201104000782 FL Practitioner - Nurse Practitioner 4183034069 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9288246FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doris Hamawy MD PA CurrentSince May 1, 2022 Accepting new patients
Healthstone Primary Care Partners LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

10230 W Sample Rd
Coral Springs, FL 33065
Phone (954) 340-9117

1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (800) 957-8288

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1710421052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10464 SW 18TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247437",
            "telephone_number": "954-562-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10464 SW 18TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247437",
            "telephone_number": "954-562-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILAMPATH",
        "first_name": "TIFFNY",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9288246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.