Individual provider Active NPI

Cheryl E Einerson, NP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1245291541
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30005665 Issued in WA
Practice address
4421 NE St Johns Rd Ste F
Family Care & Urgent Medical Clinic
Vancouver, WA 98661-2573
Phone
(360) 695-9922
Fax
(360) 695-1310
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 200050020NP OR
Family Nurse Practitioner 363LF0000X AP30005665 WA Primary

Addresses

Primary practice location

4421 NE St Johns Rd Ste F
Family Care & Urgent Medical Clinic
Vancouver, WA 98661-2573

Mailing address

13206 NE 227TH Ave
Brush Prairie, WA 98606-4203
Phone (306) 607-9880

Other identifiers 1

IdentifierTypeStateIssuer
G8871006OtherWAMEDICARE

Other names 1

  • Cheryl E Arnott Former name

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

LicenseStateTypeSpecialty
200050020NPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fishers Landing Urgent and Family Care Past Accepting new patients

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1245291541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13206 NE 227TH AVE",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986064203",
            "telephone_number": "306-607-9880",
            "fax_number": "360-892-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 NE ST JOHNS RD STE F",
            "address_2": "FAMILY CARE & URGENT MEDICAL CLINIC",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612573",
            "telephone_number": "360-695-9922",
            "fax_number": "360-695-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINERSON",
        "first_name": "CHERYL",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200050020NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8871006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "ARNOTT",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.