Tierra Danielle Chavis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5020567 Issued in NC

Practice address

5085 Morganton Rd Ste 100
Fayetteville, NC 28314-1497

Phone

(910) 613-4486

NPI assigned

Jul 11, 2024

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Allergy Partners, PLLC

  dba Allergy Partners of Fayetteville

  • Allergy & Immunology Physician
  • Fayetteville, NC
  • NPI 1073503470
  NPD
• Allergy Partners, PLLC

  dba Allergy Partners of Western North Carolina

  • Allergy & Immunology Physician
  • Asheville, NC
  • NPI 1205826559
  NPD
• Southeastern Dermatology, PA

  • Dermatology Physician
  • Lumberton, NC
  • NPI 1922043629
  NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1467299925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 MORGANTON RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141497",
            "telephone_number": "910-613-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "TIERRA",
        "middle_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi D Chavis, O.D.
• Kevin Lee Chavis Jr., FNP-C
• Lakayla Chavis
• Leslie Leann Chavis
• Rachael Anne Chavis
• Tyler Dillon Chavonne
• Kyah Checchio
• Caroline Kirui Chemobo, PMHNP-BC
• Annie Yu Chen, DDS
• Qing Chen, MD

• Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.