Shiny Kaithakuzhiyil Chacko

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

0001298013 Issued in VA

Practice address

4601 Ironbound Rd
Williamsburg, VA 23188-2648

Phone

(757) 253-5161

NPI assigned

Feb 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1093668659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CHESDALE CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881593",
            "telephone_number": "757-525-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 IRONBOUND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882648",
            "telephone_number": "757-253-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "SHINY",
        "middle_name": "KAITHAKUZHIYIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0001298013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Everlyn Tunac Castillo Bercasio, MD
• Darwin-Dean Tabios Castillo, M.D.
• Georgia Florence Catlin, PNP-PC
• Danielle Cauley, LPC, CSAC
• Melinda Cave
• Stephanie Chadwick, FNP-BC
• Emily Jones Chaikin, PA
• Renee Costin Champagne-Davis, M.ED
• Allison Chaney
• Stacia L Chapman-Gorey, LCSW

• Adult Psychiatric/Mental Health Registered Nurse in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.