Chanel Maxwell · Family Medicine Physician

1019 Wynnmere Walk Ave, Ruskin, FL 33570-2067

Overview

Chanel Maxwell is a Family Medicine Physician practicing in Ruskin, Florida. The National Provider Identifier (NPI) is #1649150525, which was assigned on September 3, 2025, and the registration record was last updated on September 3, 2025. The practitioner's main practice location is at 1019 Wynnmere Walk Ave, Ruskin, FL 33570-2067; the contact telephone number is 3479827572. The primary taxonomy of Chanel Maxwell is Family Medicine Physician (207Q00000X). Chanel Maxwell is licensed to practice in the state of Florida (#11040421).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1649150525
Entity Type Individual
Provider Name CHANEL MAXWELL
Gender Female
Credential FNP
Practice Address 1019 Wynnmere Walk Ave
Ruskin
FL 33570-2067
Practice Telephone 3479827572
Mailing Address 1019 Wynnmere Walk Ave
Ruskin
FL 33570-2067
Mailing Telephone 3479827572
Certification Date 2025-09-03
Enumeration Date 2025-09-03
Last Update Date 2025-09-03
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207Q00000XFamily Medicine193400000X SINGLE SPECIALTY GROUP11040421FL

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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Elise Kehr 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514Family Medicine Physician2025-11-08
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Lindsay Marie Mazurkiewicz 9650 E Washington St Ste 225, Indianapolis, IN 46229-3032Family Medicine Physician2025-11-07
Kujok Medical Corporation 9055 Woodcreek Oaks Blvd Ste 150b, Roseville, CA 95747-5159Family Medicine Physician2025-11-06
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Location Information

Street Address 1019 WYNNMERE WALK AVE
City RUSKIN
State FL
Zip Code 33570-2067
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jaclyn Harvel 2656 Sunray Venus Way, Ruskin, FL 33570-5031Mental Health Counselor2018-08-27
Rebeca Irizarry Larriuz 906 N Us Highway 41 Ste B, Ruskin, FL 33570-3544Speech-Language Pathologist2023-02-23
Bianca Elizabeth Macdonald · Bianca Elizabeth Lafontaine 2311 7th St Sw, Ruskin, FL 33570-5562Registered Nurse2025-04-12
Southshore Bilingual Therapy Inc 906 N Us Highway 41 Ste B, Ruskin, FL 33570-3544Speech-Language Pathologist2018-04-30
Winstin Joseph 1434 Blossom Bayou Cir, Ruskin, FL 33570-4828Licensed Practical Nurse2025-09-19
Michael A Jordan Vann · James Harold Vann 1618 Climbing Dayflower Dr, Ruskin, FL 33570-4949Health Educator2023-08-23
Anabel Alvarez Cisneros 1613 Broad Winged Hawk Dr, Ruskin, FL 33570-4955Behavior Technician2025-10-10
Leonard E Indianer 25d College Ave W, Ruskin, FL 33570-4529Optometrist2006-04-04
Jasmine Jean 893 Olive Conch St, Ruskin, FL 33570-2088Psychiatric/Mental Health Nurse Practitioner2024-09-30
Suncoast Community Health Centers Inc 820 15th St Se, Ruskin, FL 33570-3357Family Medicine Physician2006-08-08
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.