Shanice Chedi, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2017024881 Issued in MO

Practice address

9108 Pine Mission Ave
Las Vegas, NV 89143-1178

Phone

(702) 639-7472

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1841790136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 PINE MISSION AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891431178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 PINE MISSION AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891431178",
            "telephone_number": "702-639-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEDI",
        "first_name": "SHANICE",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506451",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2017024881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantis Cheatham
• Carlos Cheatham
• Janae Cheatham
• Kevin Darnell Cheatham
• Tracey D Cheatham, MD
• Viresha Shanelle Chedi, BSN, RN
• Verna Chee
• Bradley John Cheek, M.D.
• Cheyenne Francis Cheek, DPT
• Sarah Cheek

• Athletic Trainer in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.