Individual provider Active NPI

Nicole Dyan Chavez, FNP-C

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1265150866
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69419 Issued in NM
Practice address
3113 National Parks Hwy Ste 3
Carlsbad, NM 88220-5697
Phone
(575) 988-9511
Fax
(575) 988-9520
NPI assigned
Aug 19, 2022
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 69419 NM Primary

Addresses

Primary practice location

3113 National Parks Hwy Ste 3
Carlsbad, NM 88220-5697

Mailing address

3113 National Parks Hwy Ste 3
Carlsbad, NM 88220-5697
Phone (575) 988-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20221202001103 NM Practitioner - Nurse Practitioner 5395114987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanessa's Family ClinicGroup PAC ID 9133366982, 5 clinicians

Practice addresses (Care Compare)

2402 W Pierce St
6F
Carlsbad, NM 88220-3566

402 E Wood Ave
Carlsbad, NM 88220-6500
Phone (575) 941-2500

72 Yarbro Rd
Loving, NM 88220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69419NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Roots Family Clinic LLC Family Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince Oct 1, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Oct 1, 2022 Accepting new patients
Vanessa's Family Clinic Family CurrentSince Dec 12, 2022 Accepting new patients
Sparkman Behavioral Health, P. C. Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

1031 N Thomas St
Carlsbad, NM 88220
Phone (575) 887-5542

3113 National Parks Hwy
Ste 3
Carlsbad, NM 88220
Phone (575) 234-0211

402 E Wood Ave
Carlsbad, NM 88220
Phone (575) 941-2500

311 W Country Club Rd
Ste 1
Roswell, NM 88201
Phone (575) 623-2836

Organizations & group practices 5

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 4

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1265150866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 NATIONAL PARKS HWY STE 3",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205697",
            "telephone_number": "575-988-9511",
            "fax_number": "575-988-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 NATIONAL PARKS HWY STE 3",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205697",
            "telephone_number": "575-988-9511",
            "fax_number": "575-988-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "NICOLE",
        "middle_name": "DYAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.