Provider Demographics
NPI:1982584579
Name:CASON, RIDLEY BROOKE SHUSHAN (RN)
Entity type:Individual
Prefix:
First Name:RIDLEY
Middle Name:BROOKE SHUSHAN
Last Name:CASON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10188 SPRING IVY LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5144
Mailing Address - Country:US
Mailing Address - Phone:757-305-8393
Mailing Address - Fax:
Practice Address - Street 1:10188 SPRING IVY LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-5144
Practice Address - Country:US
Practice Address - Phone:757-305-8393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001306655163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health