KALEIALOHA CHAVEZ — NPI 1578460259 (Licensed & Credentialed Registered Nurse, Dialysis, Peritoneal in VAIL, AZ)

CMS-1500 Box 24J / 33a • NPI

1578460259

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WD1100X

Licensed & Credentialed Registered Nurse, Dialysis, Peritoneal

Box 32 Service Location & ZIP+4

12470 E CORTE MANTA, VAIL, AZ, 85641-6623

✓ 9-Digit EDI 837 ZIP+4 (85641-6623)

Practice Phone & Referral Fax

(808) 388-6434

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1578460259 (KALEIALOHA CHAVEZ) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1578460259` (NPI-1 Individual Practitioner)
Provider / Legal Name	KALEIALOHA CHAVEZ
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Dialysis, Peritoneal NUCC Code: `163WD1100X` (Registered Nurse, Dialysis, Peritoneal)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12470 E CORTE MANTA, VAIL, AZ, 85641-6623
Practice Telephone / Fax	Tel: (808) 388-6434
Administrative Mailing Address	12470 E CORTE MANTA, VAIL, AZ, 85641-6623
Enumeration & Last Sync	Enumerated: 2026-10-24 \| CMS Record Updated: 2026-10-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12470 E CORTE MANTA, VAIL, AZ, 85641-6623

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Plain-English Taxonomy & CMS Crosswalk (163WD1100X)

What Does Taxonomy Code 163WD1100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WD1100X translates to:
"Licensed & Credentialed Registered Nurse, Dialysis, Peritoneal"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Dialysis, Peritoneal for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KALEIALOHA CHAVEZ)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WD1100X` — Registered Nurse, Dialysis, Peritoneal Plain English: Licensed & Credentialed Registered Nurse, Dialysis, Peritoneal	State: AZ \| License: `RN183288` \| Primary: Yes (Primary)

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KALEIALOHA CHAVEZ (NPI #1578460259)