Cheryl Lee Ivie

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704248024 Issued in MI

Practice address

2700 Hamlin Blvd
Inkster, MI 48141-2206

Phone

(313) 561-5100

Fax

(313) 565-0309

NPI assigned

Mar 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Wayne Family Health CentersGroup PAC ID 4082617998, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cheryl.ivie.1@17288.direct.athenahealth.com

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.

• Western Wayne Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Inkster, MI
  • NPI 1972530277
  Medicare reassignment Care Compare group NPD
• David Leszkowitz DO PC

  • Family Medicine Physician
  • White Lake, MI
  • NPI 1609095256
  Medicare reassignment NPD
• Western Wayne Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Ecorse, MI
  • NPI 1316510860
  NPD

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1366944837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 16TH STREET",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "248-787-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HAMLIN BLVD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412206",
            "telephone_number": "313-561-5100",
            "fax_number": "313-565-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVIE",
        "first_name": "CHERYL",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704248024",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704248024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcel Leann Ingram Moore
• Inkster Community Resource & Referral Center, LLC
• Inner Healing Consulting LLC
• Noraymil Isidro
• Ali Hassan Ismail, PHARMD
• Shyamala Iyer, RPT
• Dominek Jackson
• Joneetha Christel Jackson
• Kiesha Jackson
• Philip Jackson, M.D.

• Adult Health Nurse Practitioner in Inkster, MI
• Providers in Inkster, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.

Verify at the official NPI Registry.