Provider Demographics
NPI:1225691785
Name:CHABUZ, JAIME E (APRN, CNM, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:E
Last Name:CHABUZ
Suffix:
Gender:F
Credentials:APRN, CNM, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1399 ULSTER AVE # 1080
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-1514
Mailing Address - Country:US
Mailing Address - Phone:253-248-6840
Mailing Address - Fax:253-256-3910
Practice Address - Street 1:8 BARRISTERS ROW
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4985
Practice Address - Country:US
Practice Address - Phone:253-248-6840
Practice Address - Fax:253-256-3910
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61333737363LP0808X
AZ307850363LP0808X
DCNP1047092363LP0808X
MDR237888367A00000X
NY002405367A00000X
WAAP61307622367A00000X
NY406237363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife