Individual provider Active NPI

Leticia R. Chavez, RN,FNP,BC

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1174762934
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP117567 Issued in TX
Practice address
7306 SW 34TH Ave Ste 3
Amarillo, TX 79121-1446
Phone
(806) 350-3010
Fax
(806) 350-3015
NPI assigned
Feb 18, 2009
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP117567 TX Primary

Addresses

Primary practice location

7306 SW 34TH Ave Ste 3
Amarillo, TX 79121-1446

Mailing address

7306 SW 34TH Ave Ste 3
Amarillo, TX 79121-1446
Phone (806) 350-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131010001040 TX Practitioner - Nurse Practitioner 6204060015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GPCH LLCGroup PAC ID 0042303232, 14 clinicians

Practice addresses (Care Compare)

202 S McGee St
Borger, TX 79007-4022
Phone (806) 467-5804

700 W Broadway St
Golden Plains Specialty
Fritch, TX 79036-8754
Phone (806) 857-2311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
GPCH, LLC CurrentSince Jan 16, 2023 Accepting new patients
Faith Medical Clinic, PLLC Family CurrentSince Feb 1, 2022 Accepting new patients
GPCH, LLC Current Accepting new patients
Cross Medical Clinic PLLC Family Past Accepting new patients
Ufirst Healthcare LLC Past Accepting new patients
FMC Medical Foundation, Inc. PastSince Sep 27, 2021 Accepting new patients

Locations

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

202 S McGee St
Ste B
Borger, TX 79007
Phone (806) 467-5804

1619 4th Ave
Canyon, TX 79015
Phone (806) 557-4138

700 W Broadway St
Fritch, TX 79036
Phone (806) 857-2311

Interoperability endpoints

  • Direct secure messaging: leticia.chavez.p1@direct.gpspecialtyclinic.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1174762934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 SW 34TH AVE STE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211446",
            "telephone_number": "806-350-3010",
            "fax_number": "806-350-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 SW 34TH AVE STE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211446",
            "telephone_number": "806-350-3010",
            "fax_number": "806-350-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "LETICIA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "RN,FNP,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.