Michelle L Chacon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RNP225440 Issued in AZ

Practice address

3131 W Durango St
Phoenix, AZ 85009-6217

Phone

(602) 506-4218

NPI assigned

Jun 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1245898568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W RAWHIDE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336339",
            "telephone_number": "480-540-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 W DURANGO ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096217",
            "telephone_number": "602-506-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP225440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Victoria Chacon Orellana, MD
• Blanca Lizeth Chacon
• Francisco Chacon, O.D.
• Harlyn V. Chacon
• Kari Susan Chacon, PA-C
• Remmie Edward Chacon, DPT
• Alisha Chadha, DMD
• Krishdeep Chadha, MD
• Ashley Erin Chadwick, MSN, ACNP-BC
• David Joseph Chadwick I, D.O.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; 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.