Individual provider Active NPI

Elizabeth Diane Chavez, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1639977275
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55655 Issued in NM
Practice address
10601 4TH St NW
Albuquerque, NM 87114-2407
Phone
(505) 828-3000
Fax
(505) 828-3002
NPI assigned
Mar 7, 2025
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 55655 NM Primary

Addresses

Primary practice location

10601 4TH St NW
Albuquerque, NM 87114-2407

Mailing address

10601 4TH St NW
Albuquerque, NM 87114-2407
Phone (505) 828-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328003103 AZ Practitioner - Nurse Practitioner 3779006846 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
320439AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Recker 2, LLC CurrentSince Sep 6, 2025 Accepting new patients
QC Combs 2, LLC Family CurrentSince Mar 17, 2025 Accepting new patients
Lifequest Physical Medicine and Rehab Family CurrentSince Sep 6, 2025 Accepting new patients
Vessel Health LLC PastSince Apr 26, 2015 Accepting new patients

Locations

1050 E Ray Rd
Ste 4A
Chandler, AZ 85225
Phone (480) 659-2000

4049 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 597-9497

37584 N Gantzel Rd
Ste 105
San Tan Valley, AZ 85140
Phone (480) 257-3157

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1639977275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871142407",
            "telephone_number": "505-828-3000",
            "fax_number": "505-828-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871142407",
            "telephone_number": "505-828-3000",
            "fax_number": "505-828-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "55655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.