Lachunte' Gresham

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

610 Woodfin Rd
Newport News, VA 23605-1138

Phone

(757) 236-0864

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1124762943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WOODFIN RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051138",
            "telephone_number": "757-236-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WOODFIN RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051138",
            "telephone_number": "757-236-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "LACHUNTE'",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUN NUMBER",
            "identifier": "118497930",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Greenwell, DMD
• Lisa Marie Greer, FNP-BC
• Gregory P. Jellenek, OD & Associates, PC
• John S. Gremer, MD
• Tanya Grene, FNP
• Constance None Griffin
• Jacqueline L Griffin, FNP-C
• Kayla Griffin
• Quanda M Griffin, NP
• Richard Baldwin Griffin Jr., PSY.D.

• Assisted Living Facility in Newport News, VA
• Providers in Newport News, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.