Chesney Chellise Hatch, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2024-0102 Issued in NM

Practice address

1500 Cameo St
Clovis, NM 88101-5476

Phone

(575) 607-6586

NPI assigned

Aug 12, 2020

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1679184725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 NM HIGHWAY 88",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309776",
            "telephone_number": "575-607-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CAMEO ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015476",
            "telephone_number": "575-607-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "CHESNEY",
        "middle_name": "CHELLISE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT-2024-0102",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chesneycarter33@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1378 S Roosevelt Road 5",
            "city": "Portales",
            "state": "NM",
            "country_code": "US",
            "postal_code": "881309653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nastassijah Sumone Harris
• Larry Hart, LMSW
• Grace Nasrin McKenna Hartke
• Kelly Michael Hartz, MED
• Mohammad R Hassan, MD
• Christal J Hatley, SLP
• Britney D'Von Hawkins, PHARMD
• Stephen H. Haynes, MD
• Tabitha Star Haynie, M.S., CFY-SLP
• Hazen Chiropractic Center

• Occupational Therapist in Clovis, NM
• Providers in Clovis, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.