Active NPI
Julia R. Chavez, CFNP
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1679533566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R28482
- Practice address
- 300 Oak St NE
Albuquerque, NM 87106-4725 - Phone
- (505) 855-5525
- Fax
- (505) 884-4006
- NPI assigned
- Mar 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R28482 | NM | |
| Family Nurse Practitioner | 363LF0000X | R28482 | NM | Primary |
Addresses
Primary practice location
300 Oak St NE
Albuquerque, NM 87106-4725
Mailing address
300 Oak St NE
Albuquerque, NM 87106-4725
Phone (505) 855-5525
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000Z5691 | Medicaid | NM | |
| 201001679 | Other | NM | PRESBYTERIAN |
| 500019392 | Other | NM | RAIL ROAD MEDICARE # |
| 000H2506 | Medicaid | NM | |
| NM006395 | Other | NM | BCBS/HMO 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R28482 | NM | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1679533566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OAK ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064725",
"telephone_number": "505-855-5525",
"fax_number": "505-884-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OAK ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064725",
"telephone_number": "505-855-5525",
"fax_number": "505-884-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "JULIA",
"middle_name": "R.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R28482",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R28482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000Z5691",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "201001679",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE #",
"identifier": "500019392",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000H2506",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/HMO NM #",
"identifier": "NM006395",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.