Chevannes Clinic Solutions, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CHEVANNES CLINIC SOLUTIONS, LLC

Practice address

817 W Broadway Ste a
Farmington, NM 87401-5699

Phone

(505) 258-4867

Fax

(505) 398-8748

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Angella Dionne Clarke, NURSE PRACTITIONERNPI 1851839740

Title

Nurse Practitioner/Owner

Phone

(505) 258-4867

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angella Clarke, APRN, FNP

  • Family Nurse Practitioner
  • Hillsboro, OR
  • NPI 1851839740

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1013737261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W BROADWAY STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015699",
            "telephone_number": "505-258-4867",
            "fax_number": "505-398-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W BROADWAY STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015699",
            "telephone_number": "505-258-4867",
            "fax_number": "505-398-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVANNES CLINIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "505-258-4867",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12870277",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851839740",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tesha Chavez, CSW
• Emin I Chee Jr.
• Jennifer Chee
• William Chen, DO
• Rachael Cheney, PTA
• Child & Family Wellness
• Child Psychology Center
• Childhaven, Inc
• Kenneth Bradley Chipman, CNP
• Choices Behavioral Health Services, Inc.

• Family Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.