Michelle Chavis

Key facts

NPI

1124759212

Entity type

Individual (NPI type 1)

Primary specialty

Driver 172A00000X

Practice address

417 W Peace St Apt 701
Raleigh, NC 27603-5037

Phone

(808) 269-7869

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

Yes

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.

• Joy-Ville on Wheels Non-emergency Medical Transport (VAN) · Raleigh, NC · NPI 1912638933
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 21, 2022.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1124759212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W PEACE ST APT 701",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035037",
            "telephone_number": "808-269-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W PEACE ST APT 701",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035037",
            "telephone_number": "808-269-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

• Kamalpreet Kaur Chauhan
• Jennie Chaves
• Amya Chavis
• Anthony Chavis, PA
• Eboni Chavis, LCSW-P
• Tijaunna Maggie Chavis, LCSWA
• Tonia Chavis
• Cynamon Kely Chawla, MD
• Keerat Kaur Chawla, DPT
• Sameer Naren Chawla, M.D.

All providers in Raleigh, NC · Driver in North Carolina