Active NPI
Cheryl L Brookshier, APNCFNP
- Family Nurse Practitioner
- Metropolis, IL
National Provider Identifier
1407959547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3002379
- Practice address
- 1203 W 10TH St
Metropolis, IL 62960-2433 - Phone
- (618) 524-3795
- Fax
- (618) 524-3211
- NPI assigned
- Sep 6, 2006
- Last updated
- Dec 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25827422 | IL | |
| Family Nurse Practitioner | 363LF0000X | 3002379 | KY | Primary |
Addresses
Primary practice location
1203 W 10TH St
Metropolis, IL 62960-2433
Mailing address
1203 W 10TH St
Metropolis, IL 62960-2433
Phone (618) 524-3795
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbrookshier6136@bhkydirect.com |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25827422 | IL | MD | Family Nurse Practitioner |
Interoperability endpoints
- cbrookshier6136@bhkydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1407959547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 W 10TH ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602433",
"telephone_number": "618-524-3795",
"fax_number": "618-524-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 W 10TH ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602433",
"telephone_number": "618-524-3795",
"fax_number": "618-524-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKSHIER",
"first_name": "CHERYL",
"middle_name": "L",
"credential": "APNCFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "25827422",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3002379",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbrookshier6136@bhkydirect.com",
"affiliation": "N",
"address_1": "2601 Kentucky Ave Ste 103",
"city": "Paducah",
"state": "KY",
"country_code": "US",
"postal_code": "420033817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.