Active NPI
Jeanie Cherryholmes, NP
- Nurse Practitioner
- Portsmouth, OH
National Provider Identifier
1174560411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 05467
- Practice address
- 1805 27TH St
Portsmouth, OH 45662-2640 - Phone
- (740) 356-5000
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 05467 | OH | Primary |
Addresses
Primary practice location
1805 27TH St
Portsmouth, OH 45662-2640
Mailing address
2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Phone (734) 995-3764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05467 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmg of Ohio Inc P a | Nurse Practitioner | Current | Accepting new patients |
Locations
2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
8770 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 355-4120
Interoperability endpoints
- jeanie.cherryholmes@somc.medicity.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1174560411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GREEN RD",
"address_2": "SUITE 300",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051598",
"telephone_number": "734-995-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622640",
"telephone_number": "740-356-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRYHOLMES",
"first_name": "JEANIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "05467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.