Chevella Dennis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2995 N Dixie Hwy
Oakland Park, FL 33334-2640

Phone

(954) 357-6622

Fax

(954) 357-8815

NPI assigned

Oct 23, 2015

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

Practice roles

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.

• Broward County Elderly and Veterans Services Division

  • Case Management Agency
  • Oakland Park, FL
  • NPI 1255346813
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1952773400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 NW 23RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333112804",
            "telephone_number": "954-357-6622",
            "fax_number": "954-357-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342640",
            "telephone_number": "954-357-6622",
            "fax_number": "954-357-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CHEVELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756056700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tibisay E Daza, RBT
• Marie De Jesus, TT
• Tahnia De la Cruz
• Daniel Ralph Del Coro, ARNP
• Debbie Delva, PHLEBOTOMIST
• Ruth Denord
• Dentists of Oakland Park PA (Dentists of Oakland Park)
• Dept of Veteran Affairs
• Derrick Bowling MD PA
• Kelly Desir

• Case Manager/Care Coordinator in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.