Sheria Dorisa Tilghmon

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

T62169451 Issued in VA

Practice address

1500 Jameson Dr
Virginia Beach, VA 23464-6444

Phone

(757) 300-9541

NPI assigned

Mar 28, 2018

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

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1225533599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 JAMESON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646444",
            "telephone_number": "757-300-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JAMESON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646444",
            "telephone_number": "757-300-9541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Jameson Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234646444",
            "country_code": "US",
            "telephone_number": "757-300-9541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILGHMON",
        "first_name": "SHERIA",
        "middle_name": "DORISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "VA",
            "license": "T62169451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Private Vehicle in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.