Joan Tyrell Chambers

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

18307100308 Issued in FL

Practice address

728 S Endeavour Dr
Winter Springs, FL 32708-5167

Phone

(407) 462-5613

Fax

(407) 699-4255

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MJ Pavillion Nectarway

  • Foster Care Agency
  • Oviedo, FL
  • NPI 1922748326
  NPD

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1851566905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 S ENDEAVOUR DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085167",
            "telephone_number": "407-462-5613",
            "fax_number": "407-699-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S ENDEAVOUR DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085167",
            "telephone_number": "407-462-5613",
            "fax_number": "407-699-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRELL CHAMBERS",
        "first_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "FL",
            "license": "18307100308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230569100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W Treharne, MD
• Tucawilla Villa, LLC
• Lisa Michelle Turner, LCSW
• Tuskawilla Family Medicine, Inc..
• Megan Nicole Twiddy
• Schaneal Marie Unietis, FNP-C
• Lauren Urse
• Thomas J Vagnini, R.PH, D.PH
• Jada D. Vaughan, PH.D.
• Hope Vega

• Foster Care Agency in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Foster Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.