Sussie Chenault X, MSN/ED-RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

470423360 Issued in MI

Practice address

25941 Twin Oak Drive
Taylor, MI 48180

Phone

(313) 769-6432

NPI assigned

Jan 22, 2015

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1376932772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25941 TWIN OAKS DR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481809309",
            "telephone_number": "313-769-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25941 TWIN OAK DRIVE",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "48180",
            "telephone_number": "313-769-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENAULT",
        "first_name": "SUSSIE",
        "name_suffix": "X",
        "credential": "MSN/ED-RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "470423360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hon Chan, DO
• Michelle Chan, CCC-SLP
• Jacquetta K. Chapman, B.S.W.
• Kashif Majeed Chaudhry, MD
• David W Chefan, PT
• Karissa Chibbaro
• Childress Cares Afc Homes LLC
• Paul Richard Chludzinski, PHARMACIST
• Choice One Home Health Care, Inc.
• Choice One Home Health Care, Inc.

• Administrator Registered Nurse in Taylor, MI
• Providers in Taylor, MI by specialty
• Administrator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.