Individual provider Active NPI

Charmaine Smith-Graham

  • Durable Medical Equipment & Medical Supplies
  • North Chesterfield, VA
National Provider Identifier
1538905898
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0206010160 Issued in VA
Practice address
7617 Pocoshock Way
North Chesterfield, VA 23235-6482
Phone
(347) 866-6980
NPI assigned
Jul 6, 2024
Reactivated
Oct 2, 2024
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0206010160 VA Primary
General Care Certified Respiratory Therapist 2278G1100X 0117005572 VA

Addresses

Primary practice location

7617 Pocoshock Way
North Chesterfield, VA 23235-6482

Mailing address

7617 Pocoshock Way
North Chesterfield, VA 23235-6482
Phone (804) 767-9583

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0117005572VAMDGeneral Care Certified Respiratory Therapist
0206010160VAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Cpap Center Durable Medical Equipment & Medical Supplies CurrentSince Sep 1, 2024 Accepting new patients

Locations

7617 Pocoshock Way
North Chesterfield, VA 23235
Phone (347) 866-6980

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1538905898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 POCOSHOCK WAY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356482",
            "telephone_number": "804-767-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 POCOSHOCK WAY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356482",
            "telephone_number": "347-866-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-GRAHAM",
        "first_name": "CHARMAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-06",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "deactivation_date": "2024-09-04",
        "reactivation_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206010160",
            "primary": true
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "VA",
            "license": "0117005572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.