Active NPI
Cherrie R Chilom, NP
- Acute Care Nurse Practitioner
- San Diego, CA
National Provider Identifier
1124078894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN544717
- Practice address
- 7901 Frost St
Knollwood Building, # 76
San Diego, CA 92123-2701 - Phone
- (858) 300-4747
- NPI assigned
- May 11, 2006
- Last updated
- Mar 6, 2012
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN180161 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | RN544717 | CA | Primary |
Addresses
Primary practice location
7901 Frost St
Knollwood Building, # 76
San Diego, CA 92123-2701
Mailing address
7901 Frost St
Knollwood Building, # 76
San Diego, CA 92123-2701
Phone (858) 300-4747
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN544717 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1124078894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 FROST ST",
"address_2": "KNOLLWOOD BUILDING, # 76",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232701",
"telephone_number": "858-300-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 FROST ST",
"address_2": "KNOLLWOOD BUILDING, # 76",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232701",
"telephone_number": "858-300-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILOM",
"first_name": "CHERRIE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN180161",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "RN544717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.