Cheryl B Phoenix

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307556-1 Issued in NY

Practice address

443 Fenimore St
Brooklyn, NY 11225-5905

Phone

(718) 771-0513

Fax

(718) 771-0513

NPI assigned

Nov 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDHEDD/Endpoint/JDHEDD

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1104290188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 FENIMORE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255905",
            "telephone_number": "718-771-0513",
            "fax_number": "718-771-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 FENIMORE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255905",
            "telephone_number": "718-771-0513",
            "fax_number": "718-771-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "CHERYL",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Phipps-Johnson, RN
• Graciela E. Phlatts, RN
• Phobia Lifeline Psychological Services, Inc.
• Phoenix Medical Center Inc
• Phoenix Physical Therapy Rehabilitation, PLLC
• Nikisha Renesha Phoenix, RN
• Octavia Phoenix
• Sarah Phoenix
• Sarabjit Singh Phokela, MD
• Constance Maria Photopoulos, D.D.S.

• Adult Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.