Individual provider Active NPI

Elizabeth Whitney Chonillo, RN

  • Registered Nurse
  • Davie, FL
National Provider Identifier
1942645296
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2904702 Issued in FL
Practice address
1746 SW 108TH Ter
Davie, FL 33324-7172
Phone
(954) 465-9314
NPI assigned
Apr 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2904702 FL Primary

Addresses

Primary practice location

1746 SW 108TH Ter
Davie, FL 33324-7172

Mailing address

1746 SW 108TH Ter
Davie, FL 33324-7172
Phone (954) 465-9314

Other names 1

  • Elizabeth Whitney Sager Former name

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2904702FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1942645296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 SW 108TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247172",
            "telephone_number": "954-465-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 SW 108TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247172",
            "telephone_number": "954-465-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONILLO",
        "first_name": "ELIZABETH",
        "middle_name": "WHITNEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "2904702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SAGER",
            "middle_name": "WHITNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 30, 2013; 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.