Individual provider Active NPI

Cheryl A Phelan, R.N.

  • Registered Nurse
  • Springboro, OH
National Provider Identifier
1487889275
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN . 208381 Issued in OH
Practice address
576 N Main St
Springboro, OH 45066-9552
Phone
(937) 748-8814
Fax
(937) 748-8817
NPI assigned
May 21, 2009
Last updated
May 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN . 208381 OH Primary

Addresses

Primary practice location

576 N Main St
Springboro, OH 45066-9552

Mailing address

2202 Hillrise Cir
Bellbrook, OH 45305-1861
Phone (937) 748-8814

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
RN . 208381OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Reza Miremadi MD DDS LLC PastSince May 15, 2017 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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1487889275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 HILLRISE CIR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453051861",
            "telephone_number": "937-748-8814",
            "fax_number": "937-748-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669552",
            "telephone_number": "937-748-8814",
            "fax_number": "937-748-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN . 208381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.