Active NPI
Cheryl Loudermilk
- Community Health Registered Nurse
- Fort Worth, TX
National Provider Identifier
1275949521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 572671
- Practice address
- 1101 S Main St
Suite 1300
Fort Worth, TX 76104-4802 - Phone
- (817) 321-4884
- NPI assigned
- Jul 8, 2014
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 572671 | TX | Primary |
Addresses
Primary practice location
1101 S Main St
Suite 1300
Fort Worth, TX 76104-4802
Mailing address
1101 S Main St
Suite 1300
Fort Worth, TX 76104-4802
Phone (817) 321-4884
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
| License | State | Type | Specialty |
|---|---|---|---|
| 572671 | TX | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1275949521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"address_2": "SUITE 1300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044802",
"telephone_number": "817-321-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"address_2": "SUITE 1300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044802",
"telephone_number": "817-321-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUDERMILK",
"first_name": "CHERYL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TX",
"license": "572671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.