Active NPI
Stephanie Chavez
- Counselor
- Espanola, NM
National Provider Identifier
1609100221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1302 Calle de la Merced Ste H
Espanola, NM 87532-2630 - Phone
- (505) 747-0081
- Fax
- (505) 747-0083
- NPI assigned
- Sep 29, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1302 Calle de la Merced Ste H
Espanola, NM 87532-2630
Mailing address
1302 Calle de la Merced Ste H
Espanola, NM 87532-2630
Phone (505) 747-0081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E7436 | Medicaid | NM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1609100221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 CALLE DE LA MERCED STE H",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322630",
"telephone_number": "505-747-0081",
"fax_number": "505-747-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 CALLE DE LA MERCED STE H",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322630",
"telephone_number": "505-747-0081",
"fax_number": "505-747-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E7436",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.