Active NPI
Maya Elizabeth Chavez, M.S., CCC-SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1891065843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4043
- Practice address
- 505 Elm St NE
Albuquerque, NM 87102-2500 - Phone
- (505) 727-4700
- NPI assigned
- Jan 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4043 | NM | Primary |
Addresses
Primary practice location
505 Elm St NE
Albuquerque, NM 87102-2500
Mailing address
505 Elm St NE
Albuquerque, NM 87102-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE NO. 4043 | Other | NM | REGULATION AND LICENSING DEPARTMENT, SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY BOARD |
| 12120733 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4043 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1891065843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022500",
"telephone_number": "505-727-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "MAYA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "4043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGULATION AND LICENSING DEPARTMENT, SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY BOARD",
"identifier": "LICENSE NO. 4043",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "12120733",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.