Active NPI
Myles T Chavira, NP
- Nurse Practitioner
- Henderson, KY
National Provider Identifier
1467363804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4035688
- Practice address
- 2242 US Highway 41 N
Henderson, KY 42420-2375 - Phone
- (270) 844-8515
- Fax
- (270) 826-1645
- NPI assigned
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71018626A | IN | |
| Nurse Practitioner | 363L00000X | 4035688 | KY | Primary |
Addresses
Primary practice location
2242 US Highway 41 N
Henderson, KY 42420-2375
Mailing address
2242 US Highway 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1467363804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2242 US HIGHWAY 41 N",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202375",
"telephone_number": "270-844-8515",
"fax_number": "270-826-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2242 US HIGHWAY 41 N",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202375",
"telephone_number": "270-844-8515",
"fax_number": "270-826-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVIRA",
"first_name": "MYLES",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71018626A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4035688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.