Kathryn E Chavez, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2480 Issued in NM

Practice address

12 Lirio PL
Los Lunas, NM 87031-5908

Phone

(505) 565-1361

NPI assigned

Dec 5, 2006

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

Other identifiers 1

Other names 1

• Kathryn E Miles-Chavez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659439412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LIRIO PL",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870315908",
            "telephone_number": "505-565-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LIRIO PL",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870315908",
            "telephone_number": "505-565-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00073753",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MILES-CHAVEZ",
            "middle_name": "E",
            "credential": "MS CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annette Chavez
• Dominick Chavez
• Gervette R. Chavez
• Joanna Marie Chavez
• Josephine Chavez
• Lena Chavez, FNP-BC
• Lydia Eleanor Chavez
• Madison Rayne Chavez
• Martina Chavez
• Sandra Lee Chavez, L.P.A.T

• Speech-Language Pathologist in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.