Individual provider Active NPI

Jennifer Marie Cherland, O.D.

  • Optometrist
  • Murray, UT
National Provider Identifier
1053542571
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4777565-9934 Issued in UT
Practice address
5201 Intermountain Dr
Murray, UT 84107-6024
Phone
(801) 290-4201
Fax
(801) 290-4227
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4777565-9934 UT Primary

Addresses

Primary practice location

5201 Intermountain Dr
Murray, UT 84107-6024

Mailing address

5201 S Intermountain Dr.
Murray, UT 84107-6024
Phone (801) 290-4201

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

LicenseStateTypeSpecialty
4777565-9934UTMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1053542571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S INTERMOUNTAIN DR.",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076024",
            "telephone_number": "801-290-4201",
            "fax_number": "801-290-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 INTERMOUNTAIN DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076024",
            "telephone_number": "801-290-4201",
            "fax_number": "801-290-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERLAND",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "4777565-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.