Individual provider Active NPI

Dominika Jillian Cherico, RN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Sandy, UT
National Provider Identifier
1427563154
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
8690344-3102 Issued in UT
Practice address
3149 E 9800 S
Sandy, UT 84092-4213
Phone
(385) 237-3600
NPI assigned
Dec 4, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 8690344-3102 UT
General Practice Registered Nurse 163WG0000X 8690344-3102 UT
Psychiatric/Mental Health Registered Nurse 163WP0808X 8690344-3102 UT
School Registered Nurse 163WS0200X 8690344-3102 UT
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 8690344-3102 UT Primary

Addresses

Primary practice location

3149 E 9800 S
Sandy, UT 84092-4213

Mailing address

3149 E 9800 S
Sandy, UT 84092-4213

Other practice location 1

10209 S Dimple Dell Rd
Sandy, UT 84092-4536
Phone (801) 838-8910

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
8690344-3102UTMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ut-Tex, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427563154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 E 9800 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 E 9800 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924213",
            "telephone_number": "385-237-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10209 S Dimple Dell Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840924536",
            "country_code": "US",
            "telephone_number": "801-838-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERICO",
        "first_name": "DOMINIKA",
        "middle_name": "JILLIAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "UT",
            "license": "8690344-3102",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "UT",
            "license": "8690344-3102",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": "8690344-3102",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "UT",
            "license": "8690344-3102",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "UT",
            "license": "8690344-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.