Active NPI
Diana Chavira, RN
- Registered Nurse
- Odessa, TX
National Provider Identifier
1376204073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1056522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1056522 | Other | TX | RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1056522 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hochatown Dialysis LLC | Current | 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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Odessa, TX
- NPI 1396183141
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.