Individual provider Active NPI

Cheryl Beth Conway, APRN

  • Family Nurse Practitioner
  • Owenton, KY
National Provider Identifier
1366847485
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009028 Issued in KY
Practice address
120 Progress Way
Owenton, KY 40359-6032
Phone
(844) 655-6100
Fax
(502) 484-2102
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Triad Health Systems, Inc. (21 clinicians)

Practice addresses (Care Compare)

120 Progress Way
Owenton, KY 40359-6032
Phone (502) 484-2117

329 Floyd Dr
Carrollton, KY 41008-8261
Phone (502) 732-1082

441 US Hwy 42 W
Warsaw, KY 41095-9561
Phone (859) 567-1591

Hospital & facility affiliations

  • St Elizabeth Florence Hospital · Florence, KY · CCN 180045

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160426001343 KY Practitioner - Nurse Practitioner 1254659667 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3009028KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Systems, Inc. Current
since Jan 30, 2019
Accepting new patients
Triad Health Systems, Inc. Current
since Jan 30, 2019
Accepting new patients
Triad Health Systems, Inc. Family Past Accepting new patients

Locations

329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082

120 Progress Way
Owenton, KY 40359
Phone (502) 227-2229

441 US Highway 42 W
Warsaw, KY 41095
Phone (859) 567-1271

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005364A IN
Family Nurse Practitioner 363LF0000X 3009028 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

120 Progress Way
Owenton, KY 40359-6032

Mailing address

1401 Madison Ave
Covington, KY 41011-3313
Phone (859) 655-6100

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
201305890MedicaidIN
7100391490MedicaidKY

Other names 1

NPPES NPI Registry
  • Cheryl Baker Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2024.

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1366847485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113313",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROGRESS WAY",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403596032",
            "telephone_number": "844-655-6100",
            "fax_number": "502-484-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "CHERYL",
        "middle_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005364A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201305890",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100391490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "BAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owenton, KY

Sources for this page

Verify at the official NPI Registry.