Individual provider Active NPI

Diana Chavira, RN

  • Registered Nurse
  • Odessa, TX
National Provider Identifier
1376204073
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1056522 Issued in TX
Practice address
1216 E 8TH St
Odessa, TX 79761-4638
Phone
(432) 888-9806
Fax
(432) 888-9777
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1056522 TX Primary

Addresses

Primary practice location

1216 E 8TH St
Odessa, TX 79761-4638

Mailing address

5025 Winchester Ave
Odessa, TX 79762-4434
Phone (432) 703-7798

Other identifiers 1

IdentifierTypeStateIssuer
1056522OtherTXRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Davita

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1056522TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hochatown Dialysis LLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

1216 E 8th St
Odessa, TX 79761
Phone (432) 888-9801

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1376204073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 WINCHESTER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624434",
            "telephone_number": "432-703-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614638",
            "telephone_number": "432-888-9806",
            "fax_number": "432-888-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIRA",
        "first_name": "DIANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1056522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1056522",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Davita",
            "affiliation": "N",
            "address_1": "1216 E 8th St",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797614638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.