SHIELA KAYE CHUA CRISOSTOMO (NPI# 1710587712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710587712 |
| Entity Type | Individual |
| Full Name | SHIELA KAYE CHUA CRISOSTOMO |
| Practice Address |
3916 Gosnold Ave Norfolk VA 23508-2916 |
| Practice Telephone | 8139928029 |
| Mailing Telephone | 8139928029 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3916 GOSNOLD AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23508-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
| 1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
| 1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
| 1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
| 1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
| 1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
| 1174754063 | Dominion Medical Supplies | Durable Medical Equipment & Medical Supplies | 4110 Granby St, Norfolk, VA 23508 | 2009-07-27 |
| 1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
| 1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
| Find all providers in zip 23508 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
| 1417563867 | Kirstin C Barkley | Student in an Organized Health Care Education/Training Program | 4037 State Highway 310, Norfolk, NY 13667-3177 | 2020-09-21 |
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1528681939 | Breanna Jo Davis | Student in an Organized Health Care Education/Training Program | 5115 Hampton Boulevard, Norfolk, VA 23529-0001 | 2020-05-20 |
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1669092060 | Laura Shaw | Student in an Organized Health Care Education/Training Program | 696 Mowbray Arch Apt 720, Norfolk, VA 23507-1842 | 2020-04-26 |
| 1952920282 | Graham C Busse | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch # 106, Norfolk, VA 23507-2219 | 2020-04-16 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1639707045 | Alisabeth Anne Furnace | Student in an Organized Health Care Education/Training Program | 249 Brouse Rd, Norfolk, NY 13667-4203 | 2020-03-31 |
| 1891323119 | Thomas Roh | Student in an Organized Health Care Education/Training Program | 220 Birmingham Ave Apt 144, Norfolk, VA 23505-5222 | 2020-03-31 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.