Active NPI
Cheryle Nichole Peterson, APRN
- General Acute Care Hospital
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- APRN002163
- Practice address
- 6433 Corrie Canyon St
North Las Vegas, NV 89086-1411 - Phone
- (702) 373-2231
- NPI assigned
- Apr 27, 2016
- 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 |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | APRN002163 | NV | Primary |
Addresses
Primary practice location
6433 Corrie Canyon St
North Las Vegas, NV 89086-1411
Mailing address
9982 Shadow Landing Ave
Las Vegas, NV 89166-5144
Phone (702) 373-2231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346695384 | Medicaid | NV |
Other names 1
- Cheryle Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont Emergency Services Scherr LTD | Nurse Practitioner | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Current | Accepting new patients | |
| Fremont Emergency Services Scherr LTD | Nurse Practitioner | Current | Accepting new patients |
| Yang Medical Services, PLLC | Current | Accepting new patients |
Locations
1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930
3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500
9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100
3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1538729322
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
Nurse Practitioner
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1366429821
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1346695384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9982 SHADOW LANDING AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891665144",
"telephone_number": "702-373-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6433 CORRIE CANYON ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861411",
"telephone_number": "702-373-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CHERYLE",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2024-04-24",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NV",
"license": "APRN002163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346695384",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYLE",
"last_name": "MOORE",
"credential": "CHERYLE GATEWOOD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.