Nadine Christine De Chavez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10784984-3101 Issued in UT

Practice address

449 E 2100 S
Salt Lake City, UT 84115-2237

Phone

(801) 596-2111

NPI assigned

Mar 28, 2022

Last updated

Mar 28, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Discovery House Utah, Inc.

  • Methadone Clinic
  • Salt Lake City, UT
  • NPI 1306829122
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1487304846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152237",
            "telephone_number": "801-596-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152237",
            "telephone_number": "801-596-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CHAVEZ",
        "first_name": "NADINE",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "10784984-3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rndechavez1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "rndechavez1@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "449 E 2100 S",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841152237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ddi Vantage
• Jorge Eduardo De Amorim Filho, MD
• Wellington De Araujo, MD
• Jenna Kaye De Arman
• Peggy De Azevedo
• Amelia De Costa
• Claire De Gennaro, MD
• Angela De Giorgio, LCSW
• Dennis De Guia
• Maya Avelina De Jonge

• Licensed Practical Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Licensed Practical Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.