Individual provider Active NPI

Cheryl Jean Andress, RN

  • Hospice Registered Nurse
  • Gilbert, AZ
National Provider Identifier
1376728428
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
RN053179 Issued in AZ
Practice address
16445 S 164TH St
Gilbert, AZ 85295-2005
Phone
(480) 703-1143
Fax
(480) 988-9021
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X RN053179 AZ Primary

Addresses

Primary practice location

16445 S 164TH St
Gilbert, AZ 85295-2005

Mailing address

PO Box 1741
Higley, AZ 85236-1741
Phone (480) 703-1143

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN053179AZMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1376728428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1741",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852361741",
            "telephone_number": "480-703-1143",
            "fax_number": "480-988-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16445 S 164TH ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952005",
            "telephone_number": "480-703-1143",
            "fax_number": "480-988-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESS",
        "first_name": "CHERYL",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "AZ",
            "license": "RN053179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.