Active NPI
Cherise Endres, MS, ATC
- Athletic Trainer
- Hannibal, MO
National Provider Identifier
1407307432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2014021702
- Practice address
- 2800 Palmyra Rd
Hannibal, MO 63401-1940 - Phone
- (573) 629-3207
- NPI assigned
- Oct 14, 2016
- Last updated
- Oct 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2014021702 | MO | Primary |
Addresses
Primary practice location
2800 Palmyra Rd
Hannibal, MO 63401-1940
Mailing address
2800 Palmyra Rd
Hannibal, MO 63401-1940
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014021702 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1407307432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 PALMYRA RD",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634011940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 PALMYRA RD",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634011940",
"telephone_number": "573-629-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDRES",
"first_name": "CHERISE",
"name_prefix": "Ms.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2014021702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.