Individual provider Active NPI

Cheryl Lynn Ayres, RPA-C

  • Physician Assistant
  • Lehighton, PA
National Provider Identifier
1740481522
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007649-1 Issued in NY
Practice address
1001 Mahoning St
Suite 1
Lehighton, PA 18235-1123
Phone
(610) 379-0200
NPI assigned
May 30, 2007
Last updated
May 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007649-1 NY Primary

Addresses

Primary practice location

1001 Mahoning St
Suite 1
Lehighton, PA 18235-1123

Mailing address

1281 Center Avenue
Jim Thorpe, PA 18229
Phone (646) 522-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200803001727 NY Order and Referring Only - Physician Assistant 1254500606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007649NYMDOccupational Therapist
007649-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St. Luke's Hosptial Past Accepting new patients
St Luke's Physician Group Inc Past Accepting new patients

Organizations & group practices 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1740481522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 CENTER AVENUE",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "18229",
            "telephone_number": "646-522-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAHONING ST",
            "address_2": "SUITE 1",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351123",
            "telephone_number": "610-379-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007649-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.