Individual provider Active NPI

Whitney Chavis, RN

  • Critical Care Medicine Registered Nurse
  • Chesterfield, VA
National Provider Identifier
1982101960
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
0001257790 Issued in VA
Practice address
6200 Holly Trace Dr
Chesterfield, VA 23832-8803
Phone
(804) 461-8070
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 0001257790 VA Primary

Addresses

Primary practice location

6200 Holly Trace Dr
Chesterfield, VA 23832-8803

Mailing address

4857 Cartersville Rd
Powhatan, VA 23139-3908
Phone (804) 598-2682

Other practice location 1

6200 Holly Trace Dr
Chesterfield, VA 23832-8803
Phone (804) 461-8070

Other practice location 2

4857 Cartersville Rd
Powhatan, VA 23139-3908
Phone (804) 598-2682

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001257790VAMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1982101960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 CARTERSVILLE RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231393908",
            "telephone_number": "804-598-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 HOLLY TRACE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328803",
            "telephone_number": "804-461-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Holly Trace Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238328803",
            "country_code": "US",
            "telephone_number": "804-461-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4857 Cartersville Rd",
            "address_purpose": "LOCATION",
            "city": "Powhatan",
            "state": "VA",
            "postal_code": "231393908",
            "country_code": "US",
            "telephone_number": "804-598-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "WHITNEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001257790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.