Carisse Calandra Fanchon Chin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11035995 Issued in FL

Practice address

6200 SW 73Rd St
South Miami, FL 33143-4679

Phone

(786) 662-4000

NPI assigned

Feb 24, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1972309540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 SW 71ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731969",
            "telephone_number": "786-973-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "CARISSE",
        "middle_name": "CALANDRA FANCHON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro D Chediak, M.D.
• Rajender Reddy Cheruku, M.D.
• Susan Sureen CHI, MD
• Child Psychology Associates, P.a.
• Children'S Survival Network Inc.
• Chiropractic Wellness & Rehab Inc
• Choice Therapy Solutions, Inc
• Clement Choua, M.D.
• Arlette Elizabeth Chow, APRN
• Christopher Bob DMD PA

• Family Nurse Practitioner in South Miami, FL
• Providers in South Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.