Active NPI
Cherry Charlette Jefferson, RN BSN
- General Practice Registered Nurse
- Cypress, TX
National Provider Identifier
1255934543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 905917
- Practice address
- 17919 Obelisk Bay Dr
Cypress, TX 77429-5626 - Phone
- (832) 584-7114
- NPI assigned
- Nov 18, 2020
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 905917 | TX | Primary |
Addresses
Primary practice location
17919 Obelisk Bay Dr
Cypress, TX 77429-5626
Mailing address
17919 Obelisk Bay Dr
Cypress, TX 77429-5626
Phone (832) 584-7114
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjeff300@regiscollege.edu | Direct | |
| Direct Messaging Address | cjef300@regiscollege.edu | Health Information Exchange (HIE) |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905917 | TX | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1255934543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17919 OBELISK BAY DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295626",
"telephone_number": "832-584-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17919 OBELISK BAY DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295626",
"telephone_number": "832-584-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "CHERRY",
"middle_name": "CHARLETTE",
"credential": "RN BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TX",
"license": "905917",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjeff300@regiscollege.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "17919 Obelisk Bay Dr",
"city": "Cypress",
"state": "TX",
"country_code": "US",
"postal_code": "774295626",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjef300@regiscollege.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "17919 Obelisk Bay Dr",
"city": "Cypress",
"state": "TX",
"country_code": "US",
"postal_code": "774295626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.