Individual provider Active NPI

Jennifer Mae Cherolis, BSN,RN,CDE,MLDE

  • Diabetes Educator Registered Nurse
  • Lexington, KY
National Provider Identifier
1295274132
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
131302 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Phone
(859) 323-2232
Fax
(859) 257-0659
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1064122 KY
Diabetes Educator Registered Nurse 163WD0400X 131302 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504

Mailing address

830 S Limestone University Health Services Building
4TH Floor, Barnstable Brown Diabetes Center
Lexington, KY 40536-0284
Phone (859) 323-5407

Other practice location 1

740 S Limestone Kentucky Clinic
2nd Floor, Wing D, Suite J201
Lexington, KY 40536-0284
Phone (859) 323-5404

Other names 1

  • Jennifer Crask Cherolis Other name

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

LicenseStateTypeSpecialty
1064122KYMDRegistered Nurse
131302KYMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295274132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S LIMESTONE UNIVERSITY HEALTH SERVICES BUILDING",
            "address_2": "4TH FLOOR, BARNSTABLE BROWN DIABETES CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5407",
            "fax_number": "859-257-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043504",
            "telephone_number": "859-323-2232",
            "fax_number": "859-257-0659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone Kentucky Clinic",
            "address_2": "2nd Floor, Wing D, Suite J201",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360284",
            "country_code": "US",
            "telephone_number": "859-323-5404",
            "fax_number": "859-257-0487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEROLIS",
        "first_name": "JENNIFER",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "BSN,RN,CDE,MLDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1064122",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KY",
            "license": "131302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CHEROLIS",
            "middle_name": "CRASK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.