Individual provider Active NPI

Amanda Auralee Cherrington, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rexburg, ID
National Provider Identifier
1245932102
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14018878-4405 Issued in UT
Practice address
280 E Lorene St Apt 18101
Rexburg, ID 83440-1739
Phone
(408) 665-9027
NPI assigned
Mar 21, 2023
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14018878-4405 UT Primary
Registered Nurse 163W00000X 64954 ID

Addresses

Primary practice location

280 E Lorene St Apt 18101
Rexburg, ID 83440-1739

Mailing address

280 E Lorene St Apt 18101
Rexburg, ID 83440-1739
Phone (408) 665-9027

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

LicenseStateTypeSpecialty
64954IDMDRegistered Nurse
14018878-4405UTMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1245932102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E LORENE ST APT 18101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401739",
            "telephone_number": "408-665-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E LORENE ST APT 18101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401739",
            "telephone_number": "408-665-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRINGTON",
        "first_name": "AMANDA",
        "middle_name": "AURALEE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "14018878-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "64954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.