IndividualActive
Lotsavan Chandavong, RN
NPI 1649804915 · Emergency Registered Nurse · Gallup, NM
Lotsavan Chandavong, RN is a Emergency Registered Nurse provider in Gallup, NM (NPI 1649804915).
Provider details
- NPI number
- 1649804915
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 9322682 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Street-level locationGet directions
Mailing address
477 S Naranja Ave
Port St Lucie, FL 34983-2221
Registry dates
- Enumerated
- 2020-02-26
- Last updated
- 2020-02-26
- Certified
- 2020-02-26
Frequently asked questions
- What is Lotsavan Chandavong's NPI number?
- Lotsavan Chandavong's National Provider Identifier (NPI) is 1649804915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lotsavan Chandavong's specialty?
- Lotsavan Chandavong is listed in the NPPES registry with a primary specialty of Emergency Registered Nurse (Nursing Service Providers).
- Where is Lotsavan Chandavong located?
- Lotsavan Chandavong's practice location on file with NPPES is 516 E Nizhoni Blvd, Gallup, NM 87301-5748.
- What is Lotsavan Chandavong's phone number?
- The practice phone number listed in the NPPES registry for Lotsavan Chandavong is (505) 722-1000.
- Is Lotsavan Chandavong's NPI active?
- Yes — Lotsavan Chandavong's NPI (1649804915) is active in the NPPES registry as of the last update on 2020-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.