BERTHA CHAVIS
NPI 1679836639
Licensed Practical Nurse in Winter Haven, FL

Q: What is Bertha Chavis's NPI number?

The NPI number for Bertha Chavis is 1679836639. It was assigned to this individual provider in the NPPES registry on June 24, 2012. The provider is also known as Bertha Overby Nurse.

Q: What is Bertha Chavis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Bertha Chavis was last updated on June 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2012

150 AVENUE U NW # C, WINTER HAVEN, FL 33881(407) 927-1980 Get Directions Write a Review

NPPES record last updated: June 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bertha Chavis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTHA CHAVIS (NPI 1679836639) is an individual licensed practical nurse in Winter Haven, Florida, licensed in Florida (PN1322231) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1679836639

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameBERTHA CHAVIS

Location Address150 AVENUE U NW # CWinter Haven, FL 33881-2156

Mailing Address150 Avenue U Nw # CWinter Haven, FL 33881-2156 · (407) 927-1980

Phone(407) 927-1980

Sole ProprietorYes

Enumeration DateJune 24, 2012

✔ NPI 1679836639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN1322231

Definition

A licensed practical nurse 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.

150 AVENUE U NW # C, Winter Haven, FL 33881

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Other Names 1

Other Name (5)Bertha Overby Nurse

Other Identifiers 1

Medicaid686492979FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertha Chavis's NPI number?

The NPI number for Bertha Chavis is 1679836639. It was assigned to this individual provider in the NPPES registry on June 24, 2012. The provider is also known as Bertha Overby Nurse.

Where is Bertha Chavis located?

Bertha Chavis practices at 150 Avenue U NW # C, Winter Haven, FL 33881. The listed phone number is (407) 927-1980.

What is Bertha Chavis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Bertha Chavis was last updated on June 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.