Peggy J Chavez, MSN, RN
Individual provider Active NPI Registered Nurse · Belen, NM
NPI 1750530705 · NPPES record last updated Sep 15, 2008
Key facts
- NPI
- 1750530705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R36240 (NM)
- Practice address
- 1619 W Delgado Ave
Belen, NM 87002-2805 - Phone
- (505) 966-1861
- Fax
- (505) 966-1865
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R36240 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belen Consolidated Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R36240 | NM | Yes |
| Administrator Registered Nurse | 163WA2000X | R36240 | NM | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R36240 | NM | |
| School Registered Nurse | 163WS0200X | R36240 | NM |
Addresses
Primary practice location
1619 W Delgado Ave
Belen, NM 87002-2805
Mailing address
520 N Main St
Belen, NM 87002-3720
Phone (505) 966-1105
Other providers in Belen, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.