JONATHAN CHAVEZ (NPI# 1366850950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366850950 |
| Entity Type | Individual |
| Full Name | JONATHAN CHAVEZ |
| Credential | R.T. (R)(CT) |
| Practice Address |
1722 Truman St Ne Albuquerque NM 87110-5854 |
| Practice Telephone | 5053069079 |
| Mailing Telephone | 5053069079 |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2014-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 18168 | MA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1722 TRUMAN ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265877757 | Shelly Ann O'connor | Radiologic Technologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2013-05-09 |
| 1447553607 | Mauro S Nava | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265982870 | Erin Grissman | Radiologic Technologist | 3260 Venus St, Las Cruces, NM 88012-7753 | 2016-10-06 |
| 1568605087 | Jeananne Mazzolini | Radiologic Technologist | 2105 West 21st Street, Suite A, Clovis, NM 88101-4086 | 2009-04-14 |
| 1942688361 | Heather Fure | Radiologic Technologist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-05-18 |
| 1952732000 | Michael Lee Romero | Radiologic Technologist | 1397 Weimer Rd, Taos, NM 87571-6253 | 2013-11-27 |
| 1487890315 | Guadalupe Renee Rosas | Radiologic Technologist | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-24 |
| 1477649523 | Maybelle Holiday-descheny | Radiologic Technologist | 318 Abalone Loop, Mescalero Indian Hospital, Mescalero, NM 88340-0210 | 2006-10-05 |
| 1689650913 | Joanna N Atencio | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-19 |
| 1255317566 | Sarah Manuelito | Radiologic Technologist | Us Hwy 491 N, Shiprock, NM 87420 | 2005-12-19 |
| 1881679322 | John Nmi Dinae Jr. | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-07 |
| 1699750133 | Michael Jon King | Radiologic Technologist | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-07 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.