Keisha Delores Cheatham

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

254629 Issued in NC

Practice address

3505 N Roxboro St
Durham, NC 27704-2767

Phone

(919) 220-4224

Fax

(919) 220-7390

NPI assigned

Nov 15, 2018

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.

• Telecare Mental Health Serives of North Carolina, Inc

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1477507259
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1750850053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042767",
            "telephone_number": "919-220-4224",
            "fax_number": "919-220-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042767",
            "telephone_number": "919-220-4224",
            "fax_number": "919-220-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "KEISHA",
        "middle_name": "DELORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "254629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivey Lewis Chavis, LCSW
• Tiffany J Chavis, MSW, LCSWA
• Guneet Chawla, DPT
• Jennifer A Chazan, PA
• Kayla Shalene Cheatham, APRN, FNP-C
• Jennifer Cheavens
• Madison Cheek, RN
• Shayna Melody Cheek, PHD
• Tony Cheek
• Teresa Faye Cheeks, BS, BA, CSAC

• Adult Psychiatric/Mental Health Registered Nurse in Durham, NC
• Providers in Durham, NC by specialty
• Adult Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.