Individual provider Active NPI

Cheyrl Lynn Phinney, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1770804957
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60567285 Issued in WA
Practice address
2520 Cherry Ave
Bremerton, WA 98310-4229
Phone
(360) 744-5804
Fax
(253) 985-6879
NPI assigned
Jun 22, 2010
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60567285 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28228.1055 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60567285 WA Primary

Addresses

Primary practice location

2520 Cherry Ave
Bremerton, WA 98310-4229

Mailing address

2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 744-5804

Other identifiers 1

IdentifierTypeStateIssuer
2039041MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cphinney319657@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150819008362 WA Practitioner - Nurse Practitioner 4981898772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60567285WAMDFamily Nurse Practitioner
28228.1055WYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willapa Counseling Center CurrentSince Sep 1, 2021 Accepting new patients
Clay Pot Counseling, Inc. Past Accepting new patients

Locations

2204 Pacific Ave N
Long Beach, WA 98631
Phone (360) 642-3787

300 Ocean Ave
Raymond, WA 98577
Phone (360) 942-2303

Interoperability endpoints

  • Direct secure messaging: cphinney319657@fhsce.catholichealth.net

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1770804957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-744-5804",
            "fax_number": "253-985-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-744-5804",
            "fax_number": "253-985-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHINNEY",
        "first_name": "CHEYRL",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60567285",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "28228.1055",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60567285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039041",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cphinney319657@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2520 Cherry Ave",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983104229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.