Kaylee Briana Chavez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CSA0212871 Issued in NM

Practice address

01 Sagebrush
Isleta, NM 87022

Phone

(505) 869-4866

Fax

(505) 869-4881

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1760050652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 640",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870220640",
            "telephone_number": "505-869-4866",
            "fax_number": "505-869-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "01 SAGEBRUSH",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "87022",
            "telephone_number": "505-869-4866",
            "fax_number": "505-869-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "KAYLEE",
        "middle_name": "BRIANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0212871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CSA0212871",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Abeita, RN
• Stephanie Ruth Barela, CHES
• Attlee Becenti Benally, DPM
• Erica Leanne Carrasco, RPH
• Erica Marie Carrillo, RDH
• Keely Justice Chavez, RN
• Misti Marlene Chavez, PHARM D.
• Lisa K Cherino, LMSW,LADAC
• Susan Stephanie Chewiwi, M.S.
• Jessica Chynoweth, M.D

• Addiction (Substance Use Disorder) Counselor in Isleta, NM
• Providers in Isleta, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.