Active NPI
Cheryl Dizon
- Family Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1851603427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168805
- Practice address
- 733 Volvo Pkwy
Suite 200
Chesapeake, VA 23320-1609 - Phone
- (757) 547-5851
- NPI assigned
- Jul 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024168805 | VA | Primary |
Addresses
Primary practice location
733 Volvo Pkwy
Suite 200
Chesapeake, VA 23320-1609
Mailing address
3876 River Oak Cir
Virginia Beach, VA 23456-8149
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168805 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1851603427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3876 RIVER OAK CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234568149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 VOLVO PKWY",
"address_2": "SUITE 200",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201609",
"telephone_number": "757-547-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-11",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.