Active NPI
Cheryl Renee Matchett
- Adult Companion
- Maitland, FL
National Provider Identifier
1194234708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 233855
- Practice address
- 831 Maple CT
Maitland, FL 32751-6356 - Phone
- (407) 421-6505
- Fax
- (407) 421-6505
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 233855 | FL | Primary |
Addresses
Primary practice location
831 Maple CT
Maitland, FL 32751-6356
Mailing address
831 Maple CT
Maitland, FL 32751-6356
Phone (407) 421-6505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233855 | Other | FL | AHCA LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233855 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1194234708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 MAPLE CT",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327516356",
"telephone_number": "407-421-6505",
"fax_number": "407-628-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MAPLE CT",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327516356",
"telephone_number": "407-421-6505",
"fax_number": "407-421-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATCHETT",
"first_name": "CHERYL",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "233855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA LICENSE",
"identifier": "233855",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.