Chyvia L Owens

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

327705 Issued in WI

Practice address

6130 12TH Ave
Kenosha, WI 53143-1127

Phone

(262) 237-9797

NPI assigned

Apr 4, 2022

Sex

Female

Sole proprietor

Yes

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": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1982345146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 12TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531431127",
            "telephone_number": "262-237-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 12TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531431127",
            "telephone_number": "262-237-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CHYVIA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "327705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Otto
• Suzanne K Otto, DENTAL HYGENIST
• Theresa N Otu, LPC
• Our Future Prenatal LLC
• Becka Owens
• Ingrid Owens, RN
• Olivia Owens, SAC-IT
• Obadiah James Oyer, PHARMD
• Yetunde M Oyeyinka, SLP
• Roger Thomas Pacanowski, M.D.

• Licensed Practical Nurse in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.