Katherine Paola Chavez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F347410 Issued in NY

Practice address

7-11 S Broadway
White Plains, NY 10601-3531

Phone

(914) 723-4900

NPI assigned

Mar 11, 2021

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Mission Medical Care PC

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1750898565

  Family

  Medicare reassignment Care Compare group NPD
• Fara Stricker Family Health Nurse Practitioner, P.C.

  dba Pura Vida Medical

  • Infusion Therapy Clinic/Center
  • Rockville Centre, NY
  • NPI 1669162970
  NPD (past)
• Forme Medical Center, Inc.

  dba Forme Urgent Care and Wellness Center

  • Clinic/Center
  • White Plains, NY
  • NPI 1083755920
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1790360600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-18 LINCOLN PL APT 3",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625242",
            "telephone_number": "914-434-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7-11 S BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013531",
            "telephone_number": "914-723-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "KATHERINE",
        "middle_name": "PAOLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb K Charny, MD
• Amanda Grace Chartier
• Lorraine Chastant, LMFT
• Sausa Chavarria Rivera
• Erica Jasmin Chavez
• Hitesh Chawla, M.D.
• CHC Carrollton Nursing & Rehab Ctr, LLC (Carrollton Nursing & Rehab Center.)
• Cheerful Heart Mental Health Counseling PLLC
• Alisa Y Chen, M.D.
• Cynthia Chen, MD

• Family Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.