Individual provider Active NPI

Cheryl Ann Lawalin, LPN

  • Licensed Practical Nurse
  • Tell City, IN
National Provider Identifier
1053989624
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
27022970A Issued in IN
Practice address
1143 23Rd St
Tell City, IN 47586-2562
Phone
(812) 547-2333
Fax
(812) 547-2132
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
Yes

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
27022970AINMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 27022970A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1143 23Rd St
Tell City, IN 47586-2562

Mailing address

1143 23Rd St
Tell City, IN 47586-2562
Phone (812) 547-2333

Electronic endpoints 3

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL email/phone
Other URL PHONE
Other URL EMAIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2021.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1053989624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 23RD ST",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475862562",
            "telephone_number": "812-547-2333",
            "fax_number": "812-547-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 23RD ST",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475862562",
            "telephone_number": "812-547-2333",
            "fax_number": "812-547-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWALIN",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27022970A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email/phone",
            "affiliation": "N",
            "address_1": "1143 23rd St",
            "city": "Tell City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475862562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PHONE",
            "affiliation": "N",
            "address_1": "1143 23rd St",
            "city": "Tell City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475862562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "address_1": "1143 23rd St",
            "city": "Tell City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475862562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.