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

Laiven Jean de Chantal

Individual provider Family Nurse Practitioner · NPI 1144009333

Laiven Jean de Chantal is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
4
Licensed in
NM
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1509 University Blvd NE
Albuquerque, NM 87102-1708
Phone: (505) 231-1650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 75171 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 75171 (NM)

Record details

NPI number1144009333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Albuquerque