Active NPI
Amy Chavez, APRN CPNP
- Pediatric Nurse Practitioner
- Idaho Falls, ID
National Provider Identifier
1508509530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 69247
- Practice address
- 3412 S 25TH E
Idaho Falls, ID 83404-4967 - Phone
- (208) 497-0680
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 69247 | ID | Primary |
Addresses
Primary practice location
3412 S 25TH E
Idaho Falls, ID 83404-4967
Mailing address
3412 S 25TH E
Idaho Falls, ID 83404-4967
Phone (208) 710-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69247 | ID | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bee Happy Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
3412 S 25th E
Idaho Falls, ID 83404
Phone (208) 497-0680
Interoperability endpoints
- amy.chavez.1@17082.direct.athenahealth.com
- https://api.platform.athenahealth.com/17082/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1508509530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 S 25TH E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044967",
"telephone_number": "208-710-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 S 25TH E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044967",
"telephone_number": "208-497-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "AMY",
"credential": "APRN CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "ID",
"license": "69247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.