Active NPI
Cheryl Swayne, NP
- Family Nurse Practitioner
- Covington, KY
National Provider Identifier
1154320588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1019P
- Practice address
- 3188 Foxbourne LN
Covington, KY 41015-9001 - Phone
- (859) 356-1687
- NPI assigned
- Jul 18, 2005
- Last updated
- Jan 16, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1019P | KY | Primary |
Addresses
Primary practice location
3188 Foxbourne LN
Covington, KY 41015-9001
Mailing address
3188 Foxbourne LN
Covington, KY 41015-9001
Phone (859) 356-1687
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78009255 | Medicaid | KY | |
| NP019P | Other | KY | CHOICE CARE |
| 000000045389 | Other | KY | ANTHEM |
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 |
|---|---|---|---|
| 1019P | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1154320588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3188 FOXBOURNE LN",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410159001",
"telephone_number": "859-356-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 FOXBOURNE LN",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410159001",
"telephone_number": "859-356-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAYNE",
"first_name": "CHERYL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "1019P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78009255",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE",
"identifier": "NP019P",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000045389",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
- Summit Medical Group, Inc (St. Elizabeth Physicians)
- Summit Medical Group, Inc (St. Elizabeth Physicians)
- Summit Medical Group, Inc (St. Elizabeth Physician's Journey Recovery Center)
- Randi Beth Sutnick, MSED
- Anthony T Swanholm, OD
- Katherine Lee Swope, LPCC-S
- Diamond Tackett
- Annette Redden Talkers, PT
- Teresa Tallon, ARNP
- Melissa Ann Taylor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.