Individual provider Active NPI

Victoria Johnsonchavez, BSN,RN

  • School Registered Nurse
  • Bend, OR
National Provider Identifier
1013716901
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
10012442 Issued in OR
Practice address
520 NW Wall St
Bend, OR 97703-2608
Phone
(541) 678-0730
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 10012442 OR Primary

Addresses

Primary practice location

520 NW Wall St
Bend, OR 97703-2608

Mailing address

3195 NE Delmas St
Bend, OR 97701-7709
Phone (541) 678-0730

Other practice location 1

51 SE 13th St
Bend, OR 97702-1555
Phone (541) 678-0730

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
10012442ORMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1013716901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 NE DELMAS ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017709",
            "telephone_number": "541-678-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032608",
            "telephone_number": "541-678-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 SE 13th St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021555",
            "country_code": "US",
            "telephone_number": "541-678-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSONCHAVEZ",
        "first_name": "VICTORIA",
        "credential": "BSN,RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OR",
            "license": "10012442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.