Individual provider Active NPI

Cielo Chavez, ARNP

  • Nurse Practitioner
  • Renton, WA
National Provider Identifier
1780193656
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61477594 Issued in WA
Practice address
4033 Talbot Rd S Ste 350
Renton, WA 98055-5767
Phone
(425) 690-3498
Fax
(425) 690-9498
NPI assigned
Sep 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61284655 WA
Nurse Practitioner 363L00000X APRN9303874 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9303874 FL
Nurse Practitioner 363L00000X AP61477594 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 350
Renton, WA 98055-5767

Mailing address

4033 Talbot Rd S Ste 350
Renton, WA 98055-5767
Phone (425) 690-3498

Other practice location 1

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190429000766 FL Practitioner - Nurse Practitioner 4082956834 Reassigns benefits to 1 organization
I20231107003628 WA Practitioner - Nurse Practitioner 4082956834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-Renton 419 clinicians

Practice addresses (Care Compare)

4033 Talbot Rd S
Suite 350
Renton, WA 98055-5767
Phone (425) 656-5568

Hospital & facility affiliations

  • Valley Medical Center Hospital, Renton, WA, CCN 500088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9303874FLMDNurse Practitioner
ARNP9303874FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Surgical Group of Miami LLC CurrentSince Jan 15, 2021 Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients

Locations

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

4033 Talbot Rd S
Ste 350
Renton, WA 98055
Phone (425) 228-1123

4011 Talbot Rd S
Ste 430
Renton, WA 98055
Phone (206) 575-4717

Interoperability endpoints

  • Direct secure messaging: cieloc@cerner.directbaptisthealth.com
  • Direct secure messaging: cchavez112541@direct.valleymed.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1780193656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 350",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555767",
            "telephone_number": "425-690-3498",
            "fax_number": "425-690-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 350",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555767",
            "telephone_number": "425-690-3498",
            "fax_number": "425-690-9498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-2000",
            "fax_number": "305-279-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CIELO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61284655",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9303874",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9303874",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61477594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.