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

Kenneth Bradley Chipman, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1497593693

Kenneth Bradley Chipman, CNP is a Nurse Practitioner in Farmington, New Mexico. Qualified in 2024, 2 years ago. Practices with San Juan Health and Wellness Center, a 6-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4801 N Butler Ave
Farmington, NM 87401-6002
Phone: (505) 327-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 80060 (NM)

Record details

NPI number1497593693
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorYes
NPI enumeratedJuly 20, 2024
Last updated in NPPESJuly 20, 2024
Certification dateJuly 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice San Juan Health And Wellness Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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