Nichole Ann Chavez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP045089 Issued in AZ

Practice address

5340 N. Wigwam Creek Blvd
Litchfield Park, AZ 85340-4930

Phone

(623) 547-1418

NPI assigned

Apr 16, 2013

Sex

Female

Sole proprietor

Yes

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1407299837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19740 W HILTON AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853269034",
            "telephone_number": "623-547-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N. WIGWAM CREEK BLVD",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404930",
            "telephone_number": "623-547-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "NICHOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP045089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Caudillo Silva
• Maritza Cerda, RBT
• Zahir Charania, OD
• Marc Lee Charbonneau, PT
• Marianna Chavez
• Yamileth Chavez, RBT
• Connor Cheever
• Carrie K.M. Cherian, P.T.A.
• Chewy Dental
• Katherine Christians, RBT

• Licensed Practical Nurse in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.