Cheunita R Cruz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R126162 Issued in GA

Practice address

100 Page Rd
Occupational Medicine Squadron
Robins Air Force Base, GA 30098-7627

Phone

(478) 926-0732

NPI assigned

Dec 13, 2005

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellstreet of Georgia PC

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547

  GA

  Medicare reassignment NPD
• Oconee Health Care Center LLC

  • Long Term Care Hospital
  • Macon, GA
  • NPI 1891049102
  NPD (past)
• Oconee Healthcare Center LLC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1306904081
  NPD (past)
• Samuel E. Palmer, MD, PC

  • Family Medicine Physician
  • Bonaire, GA
  • NPI 1376555300
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

• Cheunita R Cruz Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2022.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1760467641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 7TH ST",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PAGE RD",
            "address_2": "OCCUPATIONAL MEDICINE SQUADRON",
            "city": "ROBINS AIR FORCE BASE",
            "state": "GA",
            "postal_code": "300987627",
            "telephone_number": "478-926-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CHEUNITA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R126162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495467481A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEUNITA",
            "last_name": "CRUZ",
            "middle_name": "R",
            "credential": "FNP C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew Osaze Obamwonyi, M.D.
• Linda Rae Towry, LCSW

• All providers in Robins Air Force Base, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.