Chanta Susberry, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

144593030 Issued in WI

Practice address

4142 N 91St Street
Apartment 2
Milwaukee, WI 53222-1649

Phone

(414) 393-1389

NPI assigned

Apr 14, 2010

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1982920013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 N. 91ST STREET",
            "address_2": "APARTMENT 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221649",
            "telephone_number": "414-393-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 N 91ST STREET",
            "address_2": "APARTMENT 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221649",
            "telephone_number": "414-393-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSBERRY",
        "first_name": "CHANTA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "144593030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vladimir Suric
• Holly Susac, OT
• Christa R Susai, DPT
• Susan M. Dellutri, LLC
• Susan Wasserman LLC
• Dianna M Susitti, LCSW
• John David Suson, M.D.
• Travis Suss, PHARMD
• Joleen Carol Sussman, PH.D.
• Katia Sustayta Castro

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.