Individual provider Active NPI

Chazvon Hughes, MS. ED

  • Developmental Therapist
  • Tempe, AZ
National Provider Identifier
1124547500
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
2111 E Baseline Rd Ste 3A2
Tempe, AZ 85283-1516
Phone
(773) 814-7583
NPI assigned
Sep 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

2111 E Baseline Rd Ste 3A2
Tempe, AZ 85283-1516

Mailing address

9023 S Brandon Ave
Chicago, IL 60617-4458
Phone (773) 814-7583

Other practice location 1

9023 S Brandon Ave
Chicago, IL 60617-4458
Phone (773) 814-7583

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

Practice roles

OrganizationSpecialtyStatusNew patients
Small Milestones Therapy Developmental Therapist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1124547500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9023 S BRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174458",
            "telephone_number": "773-814-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E BASELINE RD STE 3A2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831516",
            "telephone_number": "773-814-7583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9023 S Brandon Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606174458",
            "country_code": "US",
            "telephone_number": "773-814-7583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CHAZVON",
        "credential": "MS. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.