Individual provider Active NPI

Cheryl Waskiewicz, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CT
National Provider Identifier
1376578880
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
001617 Issued in CT
Practice address
131 Englewood Dr
Orange, CT 06477-2434
Phone
(203) 799-8180
Fax
(209) 179-9818
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 001617 CT Primary

Addresses

Primary practice location

131 Englewood Dr
Orange, CT 06477-2434

Mailing address

131 Englewood Dr
Orange, CT 06477-2434
Phone (203) 799-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001617CTMDProfessional Counselor
1617CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Pathologists, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1376578880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ENGLEWOOD DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772434",
            "telephone_number": "203-799-8180",
            "fax_number": "209-179-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ENGLEWOOD DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772434",
            "telephone_number": "203-799-8180",
            "fax_number": "209-179-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKIEWICZ",
        "first_name": "CHERYL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "001617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.