Cheryl M Tindall

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

041393758 Issued in IL

Practice address

4063 Frank Scott Pkwy W
Belleville, IL 62223-6802

Phone

(618) 222-7691

Fax

(618) 235-2484

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1043815533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 FRANK SCOTT PKWY W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622236802",
            "telephone_number": "618-222-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 FRANK SCOTT PKWY W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622236802",
            "telephone_number": "618-222-7691",
            "fax_number": "618-235-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "CHERYL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041393758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Belleville",
            "affiliation": "N",
            "endpointDescription": "Belleville School District 201",
            "address_1": "4063 Frank Scott Pkwy W",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622236802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• School Registered Nurse in Belleville, IL
• Providers in Belleville, IL by specialty
• School Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.