Individual provider Active NPI

Thanya Jissel Gutierrez Chavez

  • Physician Assistant
  • Vail, CO
National Provider Identifier
1750120598
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009412 Issued in CO
Practice address
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone
(970) 476-1100
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0009412 CO Primary

Addresses

Primary practice location

181 W Meadow Dr Ste 400
Vail, CO 81657-5058

Mailing address

62 Stillwater
Edwards, CO 81632-7909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106002379 CO Practitioner - Physician Assistant 4789170184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Steadman Clinic Professional LLCGroup PAC ID 7719876226, 77 clinicians

Practice addresses (Care Compare)

13659 E 104TH Ave
Suite 300 400
Commerce City, CO 80022-9402
Phone (720) 506-5340

181 W Meadow Dr
Suite 400
Vail, CO 81657-5058
Phone (970) 476-1100

Hospital & facility affiliations

  • Vail Health Hospital Hospital, Vail, CO, CCN 060096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0009412COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steadman Clinic Professional LLC CurrentSince Nov 24, 2025 Accepting new patients
Steadman Clinic Professional LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

200 Robinson St
Ste C300
Basalt, CO 81621

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 400
Vail, CO 81657
Phone (970) 680-0795

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1750120598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 STILLWATER",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058",
            "telephone_number": "970-476-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ CHAVEZ",
        "first_name": "THANYA",
        "middle_name": "JISSEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.