Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANISHA CHAVEZ
Active Sole ProprietorKANISHA CHAVEZ is a Community/Behavioral Health healthcare provider located in SANTO DOMINGO PUEBLO, New Mexico. NPI 1942162300 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · SANTO DOMINGO PUEBLO, NM
Registration Details
- NPI Number
- 1942162300
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2025 (0.73721434465592 yrs)
- Last Updated
- Nov 24, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 13019 CEDAR TREE PARKSANTO DOMINGO PUEBLO, NM, 870520130Browse NM providers · Browse ZIP 87052
- Phone
- 5055850114
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in SANTO DOMINGO PUEBLO, NM
| Name | Credential | NPI |
|---|---|---|
| JORDANA KELSEY CORIZ | CCSS | 1912889478 |
| SUSAN LORI REANO | — | 1679456107 |
| MANDY MARTINEZ | INTERVENTION SPECIAL | 1447137385 |
| MR. ERIC DONALD SABAQUIE | — | 1720966476 |
| SHAWN PACHECO | CCSS, CHW | 1972464626 |
| ALLEN LOVATO | — | 1639030265 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.