Individual provider Active NPI

Alexandria Marie Changtin, ARNP

  • Family Nurse Practitioner
  • Davie, FL
National Provider Identifier
1932621281
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9319608 Issued in FL
Practice address
6099 Stirling Rd
Davie, FL 33314-7234
Phone
(954) 581-7660
Fax
(954) 587-2075
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9319608 FL Primary

Addresses

Primary practice location

6099 Stirling Rd
Davie, FL 33314-7234

Mailing address

8430 NW 18TH St
Pembroke Pines, FL 33024-3407
Phone (954) 309-9626

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
9319608FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valuecare Medical, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1932621281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 NW 18TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243407",
            "telephone_number": "954-309-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 STIRLING RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147234",
            "telephone_number": "954-581-7660",
            "fax_number": "954-587-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGTIN",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9319608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.