Individual provider Active NPI

Cheryl Saddler, C.N.A

  • Nurse's Aide
  • Covington, GA
National Provider Identifier
1306238613
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CN0014201985 Issued in GA
Practice address
130 Mountainview Dr
Covington, GA 30016-7167
Phone
(843) 505-1802
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Nurse's Aide 376K00000X CN0014201985 GA Primary

Addresses

Primary practice location

130 Mountainview Dr
Covington, GA 30016-7167

Mailing address

130 Mountainview Dr
Covington, GA 30016-7167
Phone (843) 505-1802

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
CN0014201985GAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1306238613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MOUNTAINVIEW DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167167",
            "telephone_number": "843-505-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MOUNTAINVIEW DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167167",
            "telephone_number": "843-505-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDLER",
        "first_name": "CHERYL",
        "credential": "C.N.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0014201985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.