Active NPI
Cheryl B Hnatiuk, FNP-C
- Adult Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1336433242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP3894
- Practice address
- 4840 E Indian School Rd
Suite 101
Phoenix, AZ 85018-5500 - Phone
- (602) 258-3696
- Fax
- (602) 865-8933
- NPI assigned
- Jun 8, 2011
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP3894 | AZ | Primary |
Addresses
Primary practice location
4840 E Indian School Rd
Suite 101
Phoenix, AZ 85018-5500
Mailing address
26740 N 98TH Dr
Peoria, AZ 85383-2944
Phone (810) 241-5459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN162463 | Other | AZ | RN |
| 2010009339 | Other | AZ | NP CERTIFICATION |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3894 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mydockj | Past | Accepting new patients | |
| Biltmore Family Physicians, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1811078843
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1407129646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1336433242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26740 N 98TH DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832944",
"telephone_number": "810-241-5459",
"fax_number": "918-512-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 E INDIAN SCHOOL RD",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185500",
"telephone_number": "602-258-3696",
"fax_number": "602-865-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HNATIUK",
"first_name": "CHERYL",
"middle_name": "B",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP3894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "RN162463",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP CERTIFICATION",
"identifier": "2010009339",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.