Cherise N Terry, RN, MSN, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

17528 Issued in CA

Practice address

3075 Sagewood Lane
Corona, CA 92882

Phone

(562) 458-7052

NPI assigned

Feb 18, 2008

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

Other names 1

• Cherise N Luedtke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1114195674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 SAGEWOOD LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828721",
            "telephone_number": "562-458-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 SAGEWOOD LANE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "562-458-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "CHERISE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "17528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERISE",
            "last_name": "LUEDTKE",
            "middle_name": "N",
            "credential": "RN, MSN, PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alberto Tercero, MASTER OF ARTS
• Cortney Terrazas
• Angela Noel Preston Terrell, LMT, LVN
• Daisy Terriquez
• Terry Dust
• Betelhem Teshome
• Tetra Pharmaceutical Inc (Hunter Valley Memorial Hospital)
• Karen Thai
• Tommy Thai
• Paul T Thanh, PA-C

• Pediatric Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.