Active NPI
Katie B. Cherry, RN
- Registered Nurse
- Dover, TN
National Provider Identifier
1508046459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 107099
- Practice address
- 941 Long Creek Rd
Dover, TN 37058-5007 - Phone
- (931) 232-4709
- NPI assigned
- Nov 8, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 107099 | TN | Primary |
Addresses
Primary practice location
941 Long Creek Rd
Dover, TN 37058-5007
Mailing address
941 Long Creek Rd
Dover, TN 37058-5007
Phone (931) 232-4709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107099 | Other | TN | RN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107099 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1508046459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 LONG CREEK RD",
"city": "DOVER",
"state": "TN",
"postal_code": "370585007",
"telephone_number": "931-232-4709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 LONG CREEK RD",
"city": "DOVER",
"state": "TN",
"postal_code": "370585007",
"telephone_number": "931-232-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "KATIE",
"middle_name": "B.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "107099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "107099",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.