Individual provider Active NPI

Aliza Michelle Chkaiban, C.N.M.

  • Advanced Practice Midwife
  • Greenville, TX
National Provider Identifier
1619067360
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
656120 Issued in TX
Practice address
3900 Joe Ramsey Blvd E Ste E
Greenville, TX 75401-7770
Phone
(903) 454-1722
Fax
(903) 454-1750
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 656120 TX Primary

Addresses

Primary practice location

3900 Joe Ramsey Blvd E Ste E
Greenville, TX 75401-7770

Mailing address

3900 Joe Ramsey Blvd E Ste E
Greenville, TX 75401-7770
Phone (903) 454-1722

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
656120TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Swamy Clinic PA Past Accepting new patients

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1619067360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E STE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E STE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHKAIBAN",
        "first_name": "ALIZA",
        "middle_name": "MICHELLE",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "656120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.