Individual provider Active NPI

Keren Fosuhemaa

  • Behavior Technician
  • Virginia Beach, VA
National Provider Identifier
1174431837
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5300 Kempsriver Dr # 2025
Virginia Beach, VA 23464-5369
Phone
(757) 866-2715
NPI assigned
Sep 1, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5300 Kempsriver Dr # 2025
Virginia Beach, VA 23464-5369

Mailing address

5300 Kempsriver Dr # 2025
Virginia Beach, VA 23464-5369
Phone (757) 866-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1174431837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 KEMPSRIVER DR # 2025",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645369",
            "telephone_number": "757-866-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KEMPSRIVER DR # 2025",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645369",
            "telephone_number": "757-866-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSUHEMAA",
        "first_name": "KEREN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.