Individual provider Active NPI

Chavonne Chalene Miranda

  • Nurse's Aide
  • Orlando, FL
National Provider Identifier
1851957658
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
272108 Issued in FL
Practice address
5448 Hoffner Ave Ste 406
Orlando, FL 32812-2515
Phone
(407) 237-0518
Fax
(407) 237-0591
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 272108 FL Primary

Addresses

Primary practice location

5448 Hoffner Ave Ste 406
Orlando, FL 32812-2515

Mailing address

5448 Hoffner Ave Ste 406
Orlando, FL 32812-2515
Phone (407) 237-0518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
272108FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1851957658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 HOFFNER AVE STE 406",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122515",
            "telephone_number": "407-237-0518",
            "fax_number": "407-237-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 HOFFNER AVE STE 406",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122515",
            "telephone_number": "407-237-0518",
            "fax_number": "407-237-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "CHAVONNE",
        "middle_name": "CHALENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "272108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.