Individual provider Active NPI

Clorinda Avelina Chavez, RN, BSN, CCRN, PMHNP

  • Student in an Organized Health Care Education/Training Program
  • Sneads Ferry, NC
National Provider Identifier
1265347116
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
119 Emerson LN
Sneads Ferry, NC 28460-8333
Phone
(505) 205-9179
NPI assigned
Aug 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

119 Emerson LN
Sneads Ferry, NC 28460-8333

Mailing address

119 Emerson LN
Sneads Ferry, NC 28460-8333
Phone (505) 205-9179

Other names 1

  • Clorinda Mora Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1265347116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EMERSON LN",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284608333",
            "telephone_number": "505-205-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EMERSON LN",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284608333",
            "telephone_number": "505-205-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CLORINDA",
        "middle_name": "AVELINA",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, CCRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLORINDA",
            "last_name": "MORA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sneads Ferry, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.