Active NPI
Patricia Marie Chavana, CERTIFIED NURSE PRAC
- Women's Health Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1679670020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R22598
- Practice address
- New Mexico State University MSC 3529
Corner of Stewart and Breland
Las Cruces, NM 88003-8001 - Phone
- (505) 646-1512
- Fax
- (505) 646-6428
- NPI assigned
- Sep 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R22598 | NM | Primary |
Addresses
Primary practice location
New Mexico State University MSC 3529
Corner of Stewart and Breland
Las Cruces, NM 88003-8001
Mailing address
1937 Newton St
Las Cruces, NM 88001-5158
Phone (505) 646-1512
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R22598 | NM | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679670020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1937 NEWTON ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015158",
"telephone_number": "505-646-1512",
"fax_number": "505-646-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW MEXICO STATE UNIVERSITY MSC 3529",
"address_2": "CORNER OF STEWART AND BRELAND",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880038001",
"telephone_number": "505-646-1512",
"fax_number": "505-646-6428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVANA",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CERTIFIED NURSE PRAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NM",
"license": "R22598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- 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.