Cheyanne Richardson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010092 Issued in VA

Practice address

240 Mustang TRL Ste 5
Virginia Beach, VA 23452-7516

Phone

(757) 799-9951

NPI assigned

Aug 31, 2020

Last updated

Jun 8, 2023By 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 2

Addresses

Other names 1

• Cheyanne Berens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Coastal Therapy Group Inc

  • Speech-Language Pathologist
  • Virginia Beach, VA
  • NPI 1326655937
  NPD
• Seashore Chiropractic LLC

  dba Island Chiropractic

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1760815435
  NPD (past)
• Virginia Beach City Public Schools

  • Local Education Agency (LEA)
  • Virginia Beach, VA
  • NPI 1346250065
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1619580479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MUSTANG TRL STE 5",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527516",
            "telephone_number": "757-799-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MUSTANG TRL STE 5",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527516",
            "telephone_number": "757-799-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHEYANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000599",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEYANNE",
            "last_name": "BERENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wayne Richards
• Whitley Louise Richards, MS, ATR, LPC
• Betsy Richardson
• Briona Allyse Richardson, PT, DPT
• Cara K Richardson, MS OTR/L
• Clancey Richardson, BCBA
• Gabriella Ferraioli Richardson, MD
• Heather Berlin Richardson
• Jasmine Richardson, RBT
• Jennifer Ann Richardson, OTR/L, CHT

• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.