Active NPI
Cheryl Lynn Grave Kinsella, RN, MSN, PNP
- Pediatric Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1105800
- Practice address
- 3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525 - Phone
- (833) 208-7770
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 383804 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 277001180 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 5020433 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 36921 | TN | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11023989 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | R0131486 | OK | |
| Pediatric Nurse Practitioner | 363LP0200X | A006019 | AR | |
| Pediatric Nurse Practitioner | 363LP0200X | NP500017560 | DC | |
| Pediatric Nurse Practitioner | 363LP0200X | 2003017719 | MO | |
| Pediatric Nurse Practitioner | 363LP0200X | 1105800 | TX | Primary |
Addresses
Primary practice location
3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525
Mailing address
220 Athens Way # 240
Nashville, TN 37228-1311
Phone (833) 208-7770
Other practice location 1
3109 W Dr Martin Luther King Jr Blvd Ste 350
Tampa, FL 33607-6208
Phone (833) 208-7770
Other practice location 2
506 Ramseur St Ste 1
Durham, NC 27701-4890
Phone (833) 208-7770
Other names 1
- Ms. Cheryl Lynn Burke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A006019 | AR | MD | Pediatric Nurse Practitioner |
| NP500017560 | DC | MD | Pediatric Nurse Practitioner |
| APRN11023989 | FL | MD | Pediatric Nurse Practitioner |
| 277001180 | IL | MD | Pediatric Nurse Practitioner |
| 2003017719 | MO | MD | Pediatric Nurse Practitioner |
| 5020433 | NC | MD | Pediatric Nurse Practitioner |
| 383804 | NY | MD | Pediatric Nurse Practitioner |
| R0131486 | OK | MD | Pediatric Nurse Practitioner |
| 36921 | TN | MD | Pediatric Nurse Practitioner |
| 1105800 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Children'S Palliative Care LLC | Current | Accepting new patients | |
| Imagine Pediatrics of North Carolina, PLLC | Pediatrics | Current | Accepting new patients |
| Mercy Clinic Kids Gi, LLC | Past | Accepting new patients | |
| Imagine Pediatrics of Florida LLC | Pediatrics | Past | Accepting new patients |
| Imagine Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Locations
615 S New Ballas Rd
Ste YG230
Saint Louis, MO 63141
Phone (314) 251-5399
607 S New Ballas Rd
Ste 2415
Saint Louis, MO 63141
Phone (314) 251-5399
506 Ramseur St
Ste 1
Durham, NC 27701
220 Athens Way
#240
Nashville, TN 37228
Interoperability endpoints
- https://api.platform.athenahealth.com/27760/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1023383742
-
- Pediatrics Physician
- Durham, NC
- NPI 1538922638
-
- Pediatrics Physician
- Houston, TX
- NPI 1982335436
-
- Pediatrics Physician
- Tampa, FL
- NPI 1104542232
-
- Pediatric Gastroenterology Physician
- Saint Louis, MO
- NPI 1033352885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1265768576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ATHENS WAY # 240",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281311",
"telephone_number": "833-208-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SOUTHWEST FWY STE 2100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277525",
"telephone_number": "833-208-7770"
}
],
"practiceLocations": [
{
"address_1": "3109 W Dr Martin Luther King Jr Blvd Ste 350",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076208",
"country_code": "US",
"telephone_number": "833-208-7770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 Ramseur St Ste 1",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277014890",
"country_code": "US",
"telephone_number": "833-208-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSELLA",
"first_name": "CHERYL",
"middle_name": "LYNN GRAVE",
"name_prefix": "Ms.",
"credential": "RN, MSN, PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383804",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "277001180",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5020433",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "36921",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11023989",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "R0131486",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "A006019",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "DC",
"license": "NP500017560",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2003017719",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1105800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "BURKE",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.