Individual provider Active NPI

Cheryl D White, CRNA

  • Certified Registered Nurse Anesthetist
  • Cary, NC
National Provider Identifier
1326085622
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
035709 Issued in NC
Practice address
311 Parkknoll LN
Cary, NC 27519-6617
Phone
(919) 387-1551
NPI assigned
Jun 2, 2006
Last updated
May 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 035709 NC Primary

Addresses

Primary practice location

311 Parkknoll LN
Cary, NC 27519-6617

Mailing address

311 Parkknoll LN
Cary, NC 27519-6617
Phone (919) 387-1553

Other identifiers 2

IdentifierTypeStateIssuer
562014989OtherNCTRICARE
6907604MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000281 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880507847 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
035709NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2016 Accepting new patients
Digestive Health Endoscopy Center Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2016 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Oct 1, 2016 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Oct 1, 2016 Accepting new patients
Jon a Harmon MD PA Nurse Anesthetist, Certified Registered PastSince Sep 15, 2019 Accepting new patients
Baycare Anesthesia Associates LLC Past Accepting new patients
Metro Anesthesiology Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Onslow Memorial Hospital Inc Past Accepting new patients
Ultimate Anesthesiology LLC Past Accepting new patients

Locations

3202 Boone Trl
Fayetteville, NC 28306
Phone (855) 888-3749

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1326085622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARKKNOLL LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196617",
            "telephone_number": "919-387-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PARKKNOLL LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196617",
            "telephone_number": "919-387-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHERYL",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "035709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "562014989",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6907604",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.