Individual provider Active NPI

Tamara Cheek, ARNP, FNP

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1144847328
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014779 Issued in CA
Practice address
491 E Alessandro Blvd
Riverside, CA 92508-6071
Phone
(951) 780-1835
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014779 CA Primary
Family Nurse Practitioner 363LF0000X 1130234 TX

Addresses

Primary practice location

491 E Alessandro Blvd
Riverside, CA 92508-6071

Mailing address

240 NE 19TH Ave
Boynton Beach, FL 33435-2290
Phone (323) 371-7307

Other practice location 1

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (559) 388-2656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201106001757 CA Practitioner - Nurse Practitioner 7113337940 Reassigns benefits to 1 organization
I20211130001687 WA Practitioner - Nurse Practitioner 7113337940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014779CAMDFamily Nurse Practitioner
1130234TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Aleph Lab, LLC CurrentSince Jun 10, 2022 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Nov 19, 2021 Accepting new patients

Locations

3777 Long Beach Blvd
Ste 260
Long Beach, CA 90807
Phone (626) 614-7878

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: tamara.cheek.1@29786.direct.athenahealth.com

Organizations & group practices 4

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1144847328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NE 19TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352290",
            "telephone_number": "323-371-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E ALESSANDRO BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086071",
            "telephone_number": "951-780-1835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Gattis School Rd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647428",
            "country_code": "US",
            "telephone_number": "559-388-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEK",
        "first_name": "TAMARA",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-12-05",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014779",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1130234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.