Amanda Raeann Chiu Chapin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10220087 Issued in MI

Practice address

2630 W Lafayette Blvd
Detroit, MI 48216-2019

Phone

(313) 756-6487

Fax

(313) 756-6528

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.chapin.1@29818.direct.athenahealth.com

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1962278192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W LAFAYETTE BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482162019",
            "telephone_number": "313-756-6487",
            "fax_number": "313-756-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W LAFAYETTE BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482162019",
            "telephone_number": "313-756-6487",
            "fax_number": "313-756-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "AMANDA",
        "middle_name": "RAEANN CHIU",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F10220087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changes1, PLLC
• Changing Lives and Staying Sober
• Rosina Channell, BSW
• Chapel Hill Housing
• Ted Edward Chaperon
• Ruth Chaplen, CNP
• Ava Gaye Chaplin-Palmer, RN
• Brenda Joyce Chapman, LMSW, ACSW
• Christopher Bernard Chapman, M.D.
• Diane Chapman, LLPC

• Family Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.