Laquanda O Chestnut

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

551746 Issued in SC

Practice address

184 Zinnia Dr
Myrtle Beach, SC 29579-7050

Phone

(843) 455-5691

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1801414503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ZINNIA DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797050",
            "telephone_number": "843-455-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ZINNIA DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797050",
            "telephone_number": "843-455-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "LAQUANDA",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "SC",
            "license": "551746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Lena Maria Charles
• Charleston Vamc
• Matthew Chase, OT
• Joel M Cheek, RPT
• Kambayanda Leela Chengappa, M.D.,
• Ledy P Chestnut, PA-C
• David Alexandre Chetrit, MD
• Kary-Anne Chiarizio
• Childrens Recovery Center
• Chilton Chiropractic

• All providers in Myrtle Beach, SC
• Registered Nurse First Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.