Susan Dianne Cheseman, BUSINESS LISCENSE

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

095624-2017 Issued in VA

Practice address

121 Windsor Pines Way Apt G
Newport News, VA 23608-1943

Phone

(757) 327-2569

Fax

(757) 877-3333

NPI assigned

Aug 15, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265958979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WINDSOR PINES WAY APT G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081943",
            "telephone_number": "757-327-2569",
            "fax_number": "757-877-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WINDSOR PINES WAY APT G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081943",
            "telephone_number": "757-327-2569",
            "fax_number": "757-877-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESEMAN",
        "first_name": "SUSAN",
        "middle_name": "DIANNE",
        "credential": "BUSINESS LISCENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "VA",
            "license": "095624-2017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Newport News, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.