Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanisha Chavez

Individual provider Community/Behavioral Health Agency · NPI 1942162300

Kanisha Chavez is a Community/Behavioral Health Agency in Santo Domingo Pueblo, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 130 19 CEDAR TREE PARK
Santo Domingo Pueblo, NM 87052-0130
Phone: (505) 585-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (NM)

Record details

NPI number1942162300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing addressPo Box 130, Santo Domingo Pueblo, NM 87052-0130

Other providers in Santo Domingo Pueblo