Chin Pang Siu, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-125274 Issued in AL

Practice address

7201 Happy Hollow Road
Suite 102
Trussville, AL 35173

Phone

(205) 508-6235

Fax

(205) 508-6237

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1831604479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 HAPPY HOLLOW ROAD",
            "address_2": "SUITE 102",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-508-6235",
            "fax_number": "205-508-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 HAPPY HOLLOW ROAD",
            "address_2": "SUITE 102",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-508-6235",
            "fax_number": "205-508-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU",
        "first_name": "CHIN",
        "middle_name": "PANG",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-125274",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-125274",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-125274",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-125274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Alexa Shannon, PT, DPT
• William Connor Shannon, DPT
• Sherry Shine, HAIR LOSS SPECIALIST
• Gerald Simon, O.D.
• Akaash Singh, DO
• Slpcoa LLC
• Julia Smit, CRNP
• Andrew T Smith, MD
• Elizabeth Smith
• Justin Smith

• Nurse Practitioner in Trussville, AL
• Providers in Trussville, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.