Individual provider Active NPI

Myles T Chavira, NP

  • Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1467363804
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4035688 Issued in KY
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

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.