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Active NPI 1851053862 Individual Practitioner Female Practitioner

Vicky Chavis , LPN CWCA CLT

Licensed Practical Nurse • Glendale, AZ

Professional Overview & Biography Verified Profile Summary

Vicky Chavis, LPN CWCA CLT is a registered healthcare professional specializing in Licensed Practical Nurse in Glendale, AZ. Practice services are available at 4494 W PEORIA AVE STE 115A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4494 W Peoria Ave Ste 115a

Glendale, AZ 853022020

Telephone 3144407583
Associated Practice Facility / Clinic
🏢 Pvim, Llc Facility NPI 1518334408

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Glendale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
89 Specialists

Practicing in Glendale, AZ (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-06
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License AZ LP053821

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

6968 W Palo Verde Dr

Glendale, AZ 853034405

Phone: 3144407583

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Susanna Atherton , LMT

Massage Therapist

NPI 1003547290

Licensed Massage Therapist

NPI 1437406212

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 13, 2022

Registered at 4494 W PEORIA AVE STE 115A, GLENDALE, AZ 853022020 (Tel: 3144407583)

NPI Profile Active October 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2021

Registered at 6968 W PALO VERDE DR, GLENDALE, AZ 853034405 (Tel: 3144407583)

📍
Updated Business Mailing Address October 07, 2021

Registered at 6968 W PALO VERDE DR, GLENDALE, AZ 853034405 (Tel: 3144407583)

👤
Provider Name / Credentials Updated October 07, 2021

Recorded as VICKY CHAVIS, LPN CWCA CLT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Licensed Practical Nurse (License #LP053821 in AZ)

🟢
Initial NPI Registration & Enumeration October 07, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851053862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2021
Last Update: June 06, 2025
Sole Proprietor: Yes

Mailing Address

6968 W Palo Verde Dr

Glendale, AZ 853034405

Phone: 3144407583

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.