Claudette Rose Chin, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3095842 Issued in FL

Practice address

4146 NW 48TH Ave
Lauderdale Lakes, FL 33319-4717

Phone

(954) 535-0824

Fax

(954) 535-0824

NPI assigned

Apr 27, 2014

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

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": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398556800000",
    "number": "1841610045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 NW 48TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194717",
            "telephone_number": "954-535-0824",
            "fax_number": "954-535-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 NW 48TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194717",
            "telephone_number": "954-535-0824",
            "fax_number": "954-535-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "CLAUDETTE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-27",
        "last_updated": "2014-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3095842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Change Is an Adventure, LLC
• Rosette Michelle Charles, MD
• Chen Medical Lauderhill Inc
• Frantz Chery, MD
• Marie Judith Chery
• Susan Chin, RPH
• Bajhia Chong, APRN
• Renee Isabel Ciolkosz, PH.D., BCBA-D
• Circle Care Nursing Registry, Inc.
• Nicole Cisneros

• Family Nurse Practitioner in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 Apr 27, 2014; 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.