Individual provider Active NPI

Cheryl Ralyea, CRN

  • Family Nurse Practitioner
  • Belmont, NY
National Provider Identifier
1649216078
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333369-1 Issued in NY
Practice address
4884 Route 19 S
Belmont, NY 14813-9506
Phone
(585) 268-9485
NPI assigned
Jun 22, 2006
Last updated
Jun 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X UP006959B PA
Family Nurse Practitioner 363LF0000X F333369-1 NY Primary

Addresses

Primary practice location

4884 Route 19 S
Belmont, NY 14813-9506

Mailing address

10 Noble St
Belmont, NY 14813-1122
Phone (585) 596-9156

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
UP006959BPAMDAcute Care Nurse Practitioner
F333369-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1649216078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NOBLE ST",
            "city": "BELMONT",
            "state": "NY",
            "postal_code": "148131122",
            "telephone_number": "585-596-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 ROUTE 19 S",
            "city": "BELMONT",
            "state": "NY",
            "postal_code": "148139506",
            "telephone_number": "585-268-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALYEA",
        "first_name": "CHERYL",
        "credential": "CRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "UP006959B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333369-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.