Susita Shawnta Chitman-Allen, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

704538 Issued in TX

Practice address

22119 Bridgestone Hawk CT
Spring, TX 77388-4663

Phone

(281) 433-9298

NPI assigned

Jan 4, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Provider Services of Texas

  • Nurse's Aide
  • Spring, TX
  • NPI 1134424757
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1003146655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22119 BRIDGESTONE HAWK CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884663",
            "telephone_number": "281-433-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22119 BRIDGESTONE HAWK CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884663",
            "telephone_number": "281-433-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITMAN-ALLEN",
        "first_name": "SUSITA",
        "middle_name": "SHAWNTA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "704538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Childres
• Denise M Childress, LPC
• Satyanarayana Chilukuri, M.D.
• Mircea Daniel Chirla, D.D.S.
• Aditi Chitale, PHD, PT
• Chnese Clove Clinic
• Asad Ahmed Chohan, MD
• Edmund Hisub Choi, M.D.
• Choice Living TX
• Elizabeth Chong, DDS

• Registered Nurse in Spring, TX
• Providers in Spring, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.