Individual provider Active NPI

Cheryl S Ford

  • Driver
  • Memphis, TN
National Provider Identifier
1720385206
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
55698333 Issued in TN
Practice address
4745 Poplar Ave
Suite 312
Memphis, TN 38117-4430
Phone
(901) 864-4637
Fax
(901) 379-3530
NPI assigned
Feb 18, 2011
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 55698333 TN Primary

Addresses

Primary practice location

4745 Poplar Ave
Suite 312
Memphis, TN 38117-4430

Mailing address

9330 Jayne Lewis CV
Memphis, TN 38133-0962
Phone (901) 828-2670

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
55698333TNMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Transportation 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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1720385206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 JAYNE LEWIS CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381330962",
            "telephone_number": "901-828-2670",
            "fax_number": "901-379-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 POPLAR AVE",
            "address_2": "SUITE 312",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174430",
            "telephone_number": "901-864-4637",
            "fax_number": "901-379-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHERYL",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TN",
            "license": "55698333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.