Edward Zeke Chavez
Individual provider Active NPI Community Health Worker · Espanola, NM
NPI 1114857760 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1114857760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 807 Calle Chamisal
Espanola, NM 87532-2976 - Phone
- (505) 706-3087
- NPI assigned
- May 22, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
807 Calle Chamisal
Espanola, NM 87532-2976
Mailing address
807 Calle Chamisal
Espanola, NM 87532-2976
Other providers in Espanola, NM
- Catherine Veilleux CFNP LLC
- Ashley Cde Baca
- CH Specialty Services NM LLC
- Kevin Chun Hui Chang
- Rena Chavarria
- Irene Marie Chavez
- Rebecca Chavez
- Stephanie Chavez
- Teresa Chavez
- Victoria D Chavez
All providers in Espanola, NM · Community Health Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.