Craig A Cherrin, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9368162 Issued in FL

Practice address

4205 Belfort Rd Ste 1100
Jacksonville, FL 32216-5876

Phone

(904) 296-3103

Fax

(904) 296-3106

NPI assigned

Nov 15, 2016

Last updated

Oct 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: craig.cherrin.1@21075.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Coast Neuro LLC

  dba East Coast Injury Clinic

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1124424643
  Medicare reassignment
• Vjwdc, Inc

  dba East Coast Elite Care

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1578223764
  Medicare reassignment
• Artistic Psychiatric Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1407320690
  NPD (past)
• Baptist MD Anderson Cancer Physicians Inc

  dba Baptist Oncology Services Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1609286897

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1194267625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231613",
            "telephone_number": "904-396-1725",
            "fax_number": "904-399-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 1100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165876",
            "telephone_number": "904-296-3103",
            "fax_number": "904-296-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRIN",
        "first_name": "CRAIG",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9368162",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9368162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019667700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max Cheng, PA-C
• Jessica Cherevko, R. EP T., CNIM
• Praveen Cheripalli, M.D
• Cherish the Day in Home Services
• Cherished Angel's Inc.
• Ainsley Cherry
• Brenda Cherry
• James Edward Cherry, D.M.D.
• Naderge D Chery, DMD
• Cheryl G Anthony

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.

Verify at the official NPI Registry.