Individual provider Active NPI

Cheryl Wendy Howard, RN

  • Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1770011983
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
534105 Issued in NY
Practice address
7406 Fullerton St Ste 200
Jacksonville, FL 32256-3597
Phone
(904) 538-0440
Fax
(904) 538-0444
NPI assigned
Jun 1, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 534105 NY Primary

Addresses

Primary practice location

7406 Fullerton St Ste 200
Jacksonville, FL 32256-3597

Mailing address

289 Gorge Rd Unit 64
Cliffside Park, NJ 07010-8003
Phone (212) 234-1412

Other practice location 1

68 Bradhurst Ave # 64
New York, NY 10039-3304
Phone (212) 234-1412

Other practice location 2

289 Gorge Rd Unit 64
Cliffside Park, NJ 07010-8003
Phone (212) 234-1412

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
534105NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ingenios Health Co. PastSince Oct 6, 2014 Accepting new patients
Pophealthcare, LLC Past Accepting new patients

Organizations & group practices 2

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770011983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 GORGE RD UNIT 64",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070108003",
            "telephone_number": "212-234-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 FULLERTON ST STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563597",
            "telephone_number": "904-538-0440",
            "fax_number": "904-538-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Bradhurst Ave # 64",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100393304",
            "country_code": "US",
            "telephone_number": "212-234-1412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 Gorge Rd Unit 64",
            "address_purpose": "LOCATION",
            "city": "Cliffside Park",
            "state": "NJ",
            "postal_code": "070108003",
            "country_code": "US",
            "telephone_number": "212-234-1412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CHERYL",
        "middle_name": "WENDY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "534105",
            "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 Jul 21, 2022; 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.