Individual provider Active NPI

Cherika Philo

  • Licensed Practical Nurse
  • Jacksonville, FL
National Provider Identifier
1619507936
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
5237690 Issued in FL
Practice address
4320 Sunbeam Rd Apt 219
Jacksonville, FL 32257-8828
Phone
(904) 330-0000
NPI assigned
Jan 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5237690 FL Primary

Addresses

Primary practice location

4320 Sunbeam Rd Apt 219
Jacksonville, FL 32257-8828

Mailing address

4320 Sunbeam Rd Apt 219
Jacksonville, FL 32257-8828
Phone (904) 330-0000

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
5237690FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1619507936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 SUNBEAM RD APT 219",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578828",
            "telephone_number": "904-330-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SUNBEAM RD APT 219",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578828",
            "telephone_number": "904-330-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILO",
        "first_name": "CHERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5237690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.