Active NPI
Cheryl L Kemry, LMT
- Specialist
- Bend, OR
National Provider Identifier
1124396130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14884
- Practice address
- 1288 SW Simpson Ave
Suite K
Bend, OR 97702-3195 - Phone
- (541) 617-9969
- Fax
- (541) 617-9890
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 14884 | OR | Primary |
Addresses
Primary practice location
1288 SW Simpson Ave
Suite K
Bend, OR 97702-3195
Mailing address
60323 Cinder Butte Rd
Bend, OR 97702-8960
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14884 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elements of Health & Wellness, Inc. | Past | Accepting new patients |
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.
-
- Chiropractor
- Cave Junction, OR
- NPI 1316039787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1124396130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60323 CINDER BUTTE RD",
"city": "BEND",
"state": "OR",
"postal_code": "977028960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 SW SIMPSON AVE",
"address_2": "SUITE K",
"city": "BEND",
"state": "OR",
"postal_code": "977023195",
"telephone_number": "541-617-9969",
"fax_number": "541-617-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMRY",
"first_name": "CHERYL",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "14884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.