Active NPI
Cherry M. Patton, NP
- Pediatric Nurse Practitioner
- West Monroe, LA
National Provider Identifier
1073883542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP06474
- Practice address
- 2601 North 7TH
Suite 100
West Monroe, LA 71291 - Phone
- (318) 582-5208
- Fax
- (318) 582-5216
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN073409-AP06474 | LA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP06474 | LA | Primary |
Addresses
Primary practice location
2601 North 7TH
Suite 100
West Monroe, LA 71291
Mailing address
2601 North 7TH
Suite 100
West Monroe, LA 71291
Phone (318) 582-5208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2425439 | Medicaid | LA |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06474 | LA | MD | Pediatric Nurse Practitioner |
| RN073409-AP06474 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayou Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
4624 Cypress St
Ste 6
West Monroe, LA 71291
2601 N 7th St
Ste 100
West Monroe, LA 71291
Phone (318) 582-5208
Interoperability endpoints
- clinical@outpatientmedical.directbygreenway.com
- https://api.platform.athenahealth.com/21506/brand/1/csg/1/fhir/r4
- cherry.patton.1@21506.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1073883542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 NORTH 7TH",
"address_2": "SUITE 100",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "71291",
"telephone_number": "318-582-5208",
"fax_number": "318-582-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 NORTH 7TH",
"address_2": "SUITE 100",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "71291",
"telephone_number": "318-582-5208",
"fax_number": "318-582-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "CHERRY",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "RN073409-AP06474",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP06474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2425439",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.