Miae Chantilly Chavez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

NM-2024-0097 Issued in NM

Practice address

5115 Coors Blvd NW
Albuquerque, NM 87120-1900

Phone

(505) 897-6560

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By 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 2

Addresses

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": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1902624026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 TORRENT DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871207122",
            "telephone_number": "808-283-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201900",
            "telephone_number": "505-897-6560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Winter Haven Dr NW Ste H",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201746",
            "country_code": "US",
            "telephone_number": "808-283-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MIAE",
        "middle_name": "CHANTILLY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-10851",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "NM-2024-0097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Chavez
• Maurice Chavez, NTS
• Maya Elizabeth Chavez, M.S., CCC-SLP
• Mayra Cindy Chavez
• Meredith Lee Chavez, M.S. CCC-SLP
• Michael Anthony Chavez Jr.
• Micheal A Chavez
• Miquella T Chavez
• Monica Marie Chavez, P.M.S.W.
• Morgan Chavez, MPH

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.