Individual provider Active NPI

Cherriline Williams-West

  • Cardiac Rehabilitation Registered Nurse
  • Bronx, NY
National Provider Identifier
1275716631
Registry record updated Dec 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
License
558808-1 Issued in NY
Practice address
3459 Eastchester Rd
6-C
Bronx, NY 10469-1626
Phone
(917) 361-3048
NPI assigned
Dec 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X 558808-1 NY Primary

Addresses

Primary practice location

3459 Eastchester Rd
6-C
Bronx, NY 10469-1626

Mailing address

3459 Eastchester Rd
6-C
Bronx, NY 10469-1626
Phone (917) 361-3048

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
558808-1NYMDCardiac Rehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1197072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197072000000",
    "number": "1275716631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 EASTCHESTER RD",
            "address_2": "6-C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691626",
            "telephone_number": "917-361-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 EASTCHESTER RD",
            "address_2": "6-C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691626",
            "telephone_number": "917-361-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-WEST",
        "first_name": "CHERRILINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-08",
        "last_updated": "2007-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NY",
            "license": "558808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2007; 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.