Vanessa Liliana Chavero

Individual provider Active NPI Occupational Therapist · Weslaco, TX

NPI 1780164228 · NPPES record last updated Aug 15, 2018

Key facts

NPI
1780164228
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
116072 (TX)
Practice address
422 E 18TH St
Weslaco, TX 78596-8032
Phone
(956) 973-8451
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116072TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 116072 TX Yes

Addresses

Primary practice location

422 E 18TH St
Weslaco, TX 78596-8032

Mailing address

2802 Loma Linda Cir S
Palmview, TX 78572-8236
Phone (956) 222-3071

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2018.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1780164228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 LOMA LINDA CIR S",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785728236",
            "telephone_number": "956-222-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E 18TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785968032",
            "telephone_number": "956-973-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVERO",
        "first_name": "VANESSA",
        "middle_name": "LILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

All providers in Weslaco, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.