Individual provider Active NPI

Cheryl Lynn Pickern, F.N.P.

  • Family Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1548550304
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231076 Issued in CA
Practice address
9500 Gilman Dr
0039
La Jolla, CA 92093-0039
Phone
(858) 534-0814
NPI assigned
Apr 13, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231076 CA Primary

Addresses

Primary practice location

9500 Gilman Dr
0039
La Jolla, CA 92093-0039

Mailing address

311 4TH Ave
Apt 602
San Diego, CA 92101-6967
Phone (619) 204-4471

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

State licenses

LicenseStateTypeSpecialty
231076CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1548550304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 4TH AVE",
            "address_2": "APT 602",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016967",
            "telephone_number": "619-204-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "0039",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930039",
            "telephone_number": "858-534-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERN",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "231076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.