Active NPI
Cherri Radford, NP
- Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1124081690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 657394
- Practice address
- 333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377 - Phone
- (612) 659-7111
- NPI assigned
- Apr 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 657394 | TX | Primary |
Addresses
Primary practice location
333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377
Mailing address
333 Washington Ave N
Suite 5000
Minneapolis, MN 55401-1377
Phone (612) 659-7111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N9148 | Other | TX | BLUE SHIELD |
| P00269378 | Other | TX | RR/MEDICARE |
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 |
|---|---|---|---|
| 657394 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124081690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 WASHINGTON AVE N",
"address_2": "SUITE 5000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011377",
"telephone_number": "612-659-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 WASHINGTON AVE N",
"address_2": "SUITE 5000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011377",
"telephone_number": "612-659-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "CHERRI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "657394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8N9148",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "P00269378",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.