Shawntessa Marie Dejesus, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001239 Issued in VA

Practice address

500 Hioaks Rd
Richmond, VA 23225-4061

Phone

(804) 560-6500

NPI assigned

Jan 30, 2008

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chippenham and Johnston-Willis Sports Medicine, LLC

  • Sports Medicine (Family Medicine) Physician
  • North Chesterfield, VA
  • NPI 1740229608
  NPD (past)
• Primary Health Group Inc

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1578504452
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1457538530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254061",
            "telephone_number": "804-560-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254061",
            "telephone_number": "804-560-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "SHAWNTESSA",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Degracie, DDS
• Nicole Marie Deiorio, MD
• Rebecca Tosini Deitch, MD
• John C Deitrick, MD
• Angela F Dejarnette, M.S., CCC-SLP
• Stephanie Victoria Dejesus, FNP
• Jeffrey C Delafuente, M.S., R.PH.
• Stephanie Delaney, PA-C
• Tessa Delano
• Regina Delbaugh, DO

• Athletic Trainer in Richmond, VA
• Providers in Richmond, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.