Rukiya J Chavers, FNP C

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

AP2349 Issued in AZ

Practice address

4110 N 108TH Ave Ste 105
Phoenix, AZ 85037-5772

Phone

(623) 772-6999

Fax

(623) 772-6444

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Rukiya J Shells-Chavers Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1043313646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 N 108TH AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375772",
            "telephone_number": "623-772-6999",
            "fax_number": "623-772-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 N 108TH AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375772",
            "telephone_number": "623-772-6999",
            "fax_number": "623-772-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10815 W McDowell Rd",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "85392",
            "country_code": "US",
            "telephone_number": "623-433-0100",
            "fax_number": "623-433-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVERS",
        "first_name": "RUKIYA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN107738",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP2349",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "AP2349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235248",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUKIYA",
            "last_name": "SHELLS-CHAVERS",
            "middle_name": "J",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Narendra Chauhan, MD
• Sara Chauhan, M.D.
• Matthew Chaung, MD
• Monica Chaung, MD
• Maurya Chaurasia, PHARM.D.
• Alexandra Chavez, MD
• Bithia Chavez, LCSW
• Brenda Chavez, RDH
• Christopher James Chavez, PHARMD.
• Eulanlia Dee Chavez

• Gastroenterology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.