Active NPIIndividual providerSole proprietor

Justin R Chavis, RN

Nurse Anesthetist, Certified Registered in Manchester, New Hampshire

NPI Number1578172854
Practice location
1 Elliot Way Ste 200, Manchester, NH 03103-3502
Fax
—
Last updated
January 19, 2026

Justin Ryan Chavis is a Nurse Anesthetist, Certified Registered based in Manchester, NH. Justin Ryan Chavis practices in Manchester, NH and has the professional credentials of RN. The NPI Number for Justin Ryan Chavis is 1578172854 and holds a License No. 205913 (TN). The current practice location address for Justin Ryan Chavis is 1 Elliot Way Ste 200, Manchester, NH 03103-3502 and can be reached out via phone at 603-663-2315.

Provider Profile Details

NPI Number
1578172854
Provider Name
Justin Ryan Chavis
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
1 Elliot Way Ste 200, Manchester, NH 03103-3502
Phone Number
603-663-2315
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
July 23, 2020
Last Update Date
January 19, 2026
Certification Date
January 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Elliot Way Ste 200
Manchester, NH 03103-3502
Zip
03103-3502
Phone Number
603-663-2315
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
1149 E Main St Apt 302
Chattanooga, TN 37408-1631
City
Chattanooga
State
TN
Zip
37408-1631
Phone Number
803-743-6024

License Information

License Number (1)
205913
License State (1)
TN
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
083681-23
License State (2)
NH
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (3)
132452
License State (3)
NH
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justin R Chavis, RN?

The NPI number of Justin R Chavis, RN is 1578172854. It was assigned on July 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Justin R Chavis, RN?

Justin R Chavis, RN is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in TN under license number 205913.

Where does Justin R Chavis, RN practice?

The practice location is 1 Elliot Way Ste 200, Manchester, NH 03103-3502. The office can be reached at 603-663-2315 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578172854 directly on the NPPES registry website.

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