Individual provider Active NPI

Tameika Latoya Chisman, MASSAGE THERAPIST

  • Massage Therapist
  • Newport News, VA
National Provider Identifier
1730878356
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019011974 Issued in VA
Practice address
733 Thimble Shoals Blvd
Newport News, VA 23606-4260
Phone
(757) 367-9632
NPI assigned
May 1, 2023
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019011974 VA Primary

Addresses

Primary practice location

733 Thimble Shoals Blvd
Newport News, VA 23606-4260

Mailing address

365 Fort St
Newport News, VA 23608-2035
Phone (757) 367-9632

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
0019011974VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knead to Heal LLC Massage Therapist PastSince May 1, 2023 Accepting new patients

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1730878356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FORT ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082035",
            "telephone_number": "757-367-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 THIMBLE SHOALS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064260",
            "telephone_number": "757-367-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISMAN",
        "first_name": "TAMEIKA",
        "middle_name": "LATOYA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019011974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.