Individual provider Active NPI

Cherilyn Lorraine Hebert, MD

  • Contractor
  • Madison, MS
National Provider Identifier
1538323969
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
08742 Issued in MS
Practice address
1281 Highway 51
Madison, MS 39110-9092
Phone
(601) 853-5592
Fax
(877) 745-5458
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 08742 MS Primary

Addresses

Primary practice location

1281 Highway 51
Madison, MS 39110-9092

Mailing address

PO Box 1271
Jackson, MS 39215-1271
Phone (601) 853-5592

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
08742MSMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Dept of Rehab Services(Disability Determination Services) Contractor 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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1538323969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1271",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392151271",
            "telephone_number": "601-853-5592",
            "fax_number": "877-745-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109092",
            "telephone_number": "601-853-5592",
            "fax_number": "877-745-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "CHERILYN",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MS",
            "license": "08742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.