Individual provider Active NPI

Chandroutie Daisy Santoo-Vazquez, ARNP-BC

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1740389683
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3037962 Issued in FL
Practice address
3900 University Blvd S Ste 2
Jacksonville, FL 32216-4331
Phone
(904) 760-4904
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 3037962 FL Primary

Addresses

Primary practice location

3900 University Blvd S Ste 2
Jacksonville, FL 32216-4331

Mailing address

1526 Garfield St
Hollywood, FL 33020-3749
Phone (772) 485-9649

Other practice location 1

120 King St
Jacksonville, FL 32204-2410
Phone (904) 760-4904

Other practice location 2

1680 Dunn Ave Ste 35
Jacksonville, FL 32218-4744
Phone (904) 760-4904

Other practice location 3

1880 Edgewood Ave W
Jacksonville, FL 32208-3021
Phone (904) 760-4904

Other practice location 4

5460 Blanding Blvd
Jacksonville, FL 32244-1957
Phone (904) 760-4904

Other practice location 5

6024 Merrill Rd
Jacksonville, FL 32277-3427
Phone (904) 760-4904

Other identifiers 1

IdentifierTypeStateIssuer
105831900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200821000455 FL Practitioner - Nurse Practitioner 0840616843 Reassigns benefits to 2 organizations
I20230501000944 NY Practitioner - Nurse Practitioner 0840616843
I20260119000772 TX Practitioner - Nurse Practitioner 0840616843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4600 Bohannon Dr
Suite 100
Menlo Park, CA 94025-1037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3037962FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Aug 15, 2022 Accepting new patients
Visavis Health Care Medical Group of FL, PLLC CurrentSince Dec 30, 2022 Accepting new patients
Sprinter Medical West PC CurrentSince Oct 12, 2025 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Aug 15, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients
Neurology Associates Group Past Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

10150 Highland Manor Dr
Ste 300
Tampa, FL 33610
Phone (813) 558-6600

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

831 Bedford Ave
Brooklyn, NY 11205

1100 NW Loop 410
Ste 700
San Antonio, TX 78213
Phone (210) 241-4954

Interoperability endpoints

  • Direct secure messaging: chandroutie.santoo-vazquez@393409484357636.direct.elationemr.com

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1740389683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 GARFIELD ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203749",
            "telephone_number": "772-485-9649",
            "fax_number": "954-921-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 UNIVERSITY BLVD S STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164331",
            "telephone_number": "904-760-4904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 King St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322042410",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1680 Dunn Ave Ste 35",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184744",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Edgewood Ave W",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322083021",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5460 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322441957",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6024 Merrill Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322773427",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOO-VAZQUEZ",
        "first_name": "CHANDROUTIE",
        "middle_name": "DAISY",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3037962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105831900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.