Victoria Chavez, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11942440-4102 Issued in NM

Practice address

12453 S 265 W Ste B
Draper, UT 84020-5420

Phone

(801) 443-7775

Fax

(801) 447-0107

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legendary Pediatric Therapy

  • Occupational Therapist
  • Draper, UT
  • NPI 1568869899

  Speech-Language Pathologist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2021.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1730845306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650363",
            "telephone_number": "801-443-7775",
            "fax_number": "801-447-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12453 S 265 W STE B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205420",
            "telephone_number": "801-443-7775",
            "fax_number": "801-447-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "VICTORIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "11942440-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Chapman
• Aubrey Chartier
• Chase Judd, DDS, PLLC
• Chase Larsen DMD PLLC
• Nicole Marie Chaus, PHARMD
• Lisa Cheek, PT
• Janet Wheatley Chen, LCSW
• Steven John Chen, PH.D.
• Yanhua Chen
• John Cheney, DC

• All providers in Draper, UT
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.