Tricia Marie Chavez, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

537760 Issued in CA

Practice address

11075 S State St Ste 33
Sandy, UT 84070-5183

Phone

(801) 572-5833

Fax

(801) 572-5844

NPI assigned

Sep 21, 2006

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 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1801995568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 33",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705183",
            "telephone_number": "801-572-5833",
            "fax_number": "801-572-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 33",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705183",
            "telephone_number": "801-572-5833",
            "fax_number": "801-572-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "TRICIA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "537760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTE",
            "identifier": "6436059-4405",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "F0406066",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "537760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Eric Chandler, DDS
• Christy Chang Messerich
• Changes Counseling & Consultation, LLC
• Wei Ting Chao
• David Matthew Chatwin, M.D.
• Karen Checketts, PH.D.
• Julie Ann Chen, LCSW
• Michael Ming-CHI Chen, D.O.
• Dominika Jillian Cherico, RN
• Sandra Lee Chew, MS, CMHC, NCC

• Nurse Practitioner in Sandy, UT
• Providers in Sandy, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.