Active NPI
Cheryl A. Bliven, NP
- Occupational Health Nurse Practitioner
- Wausau, WI
National Provider Identifier
1174955538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- 5375
- Practice address
- 425 Wind Ridge Dr
Wausau, WI 54401-4149 - Phone
- (715) 847-2812
- Fax
- (715) 847-2619
- NPI assigned
- Aug 7, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5375 | WI | |
| Occupational Health Nurse Practitioner | 363LX0106X | 5375 | WI | Primary |
Addresses
Primary practice location
425 Wind Ridge Dr
Wausau, WI 54401-4149
Mailing address
425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 847-2812
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 |
|---|---|---|---|
| 5375 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1174955538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 WIND RIDGE DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014149",
"telephone_number": "715-847-2812",
"fax_number": "715-847-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 WIND RIDGE DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014149",
"telephone_number": "715-847-2812",
"fax_number": "715-847-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIVEN",
"first_name": "CHERYL",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5375",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "WI",
"license": "5375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.