Cerise Althea Chisholm, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

687730 Issued in NY

Practice address

31 White Oak St
New Rochelle, NY 10801-1706

Phone

(914) 309-3316

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1629307244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WHITE OAK ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011706",
            "telephone_number": "914-309-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WHITE OAK ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011706",
            "telephone_number": "914-309-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "CERISE",
        "middle_name": "ALTHEA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NY",
            "license": "687730",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2810971",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "687730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02681923",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliot Marc Chester, RPH
• Child Behavior Therapy Associates, LLP
• Cleaver Chin
• Marvin Aaron Chinitz, MD
• Tiffany Chisholm Hamilton
• Erin Choe, MD
• Choice of New Rochelle, Inc.
• Grace Chon, RPH
• Brittany Chorey, ATC
• Chosen by Divine

• Registered Nurse in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.