Sandra Liliana Chin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06220417 Issued in FL

Practice address

5824 State Road 54 Ste 101
New Port Richey, FL 34652-6061

Phone

(727) 845-1933

Fax

(727) 845-7307

NPI assigned

Jun 11, 2022

Last updated

Jun 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Liliana Chin Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1770213993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 STATE ROAD 54 STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526061",
            "telephone_number": "727-845-1933",
            "fax_number": "727-845-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 STATE ROAD 54 STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526061",
            "telephone_number": "727-845-1933",
            "fax_number": "727-845-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "SANDRA",
        "middle_name": "LILIANA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F06220417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "CHIN",
            "middle_name": "LILIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.