Individual provider Active NPI

Cheryle Diana Strother

  • Family Nurse Practitioner
  • Pontiac, IL
National Provider Identifier
1124595335
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016968 Issued in IL
Practice address
402 N Plum St
Pontiac, IL 61764-1817
Phone
(815) 844-4631
Fax
(815) 844-1942
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016968 IL Primary

Addresses

Primary practice location

402 N Plum St
Pontiac, IL 61764-1817

Mailing address

402 N Plum St
Pontiac, IL 61764-1817
Phone (815) 844-4631

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

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County Chiropractic Center, LTD. CurrentSince Oct 21, 2018 Accepting new patients
Vandehey Chiropractic Health Center CurrentSince Aug 20, 2021 Accepting new patients

Locations

1230 Armour Rd
Bourbonnais, IL 60914
Phone (815) 933-5688

402 N Plum St
Pontiac, IL 61764
Phone (815) 844-4631

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1124595335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N PLUM ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641817",
            "telephone_number": "815-844-4631",
            "fax_number": "815-844-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N PLUM ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641817",
            "telephone_number": "815-844-4631",
            "fax_number": "815-844-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROTHER",
        "first_name": "CHERYLE",
        "middle_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.