Cheryl Lynn Street, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041-147428 Issued in IL

Practice address

7165 E Country Club Dr Apt 3
Saint Anne, IL 60964-5808

Phone

(815) 402-2912

NPI assigned

May 17, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1124692967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 E 3100 NORTH RD",
            "city": "MARTINTON",
            "state": "IL",
            "postal_code": "609516016",
            "telephone_number": "815-383-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 E COUNTRY CLUB DR APT 3",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609645808",
            "telephone_number": "815-402-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-147428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergey Shushunov, MD
• St. Anne School District #256
• St. Anne School District #302
• St. Anne Unit District 24
• Morgan Strate, DPT
• Thresholds Sandler Center
• Karen M. Willis, SLP-P

• Registered Nurse in Saint Anne, IL
• Providers in Saint Anne, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.