Individual provider Active NPI

Cherryl Jean Macabuhay Lontoc

  • Critical Care Medicine Registered Nurse
  • Waco, TX
National Provider Identifier
1780423947
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
748400 Issued in TX
Practice address
409 Greenleaf Dr
Waco, TX 76705-1235
Phone
(580) 209-2070
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 748400 TX Primary

Addresses

Primary practice location

409 Greenleaf Dr
Waco, TX 76705-1235

Mailing address

409 Greenleaf Dr
Waco, TX 76705-1235
Phone (580) 209-2070

Other practice location 1

1644 Circlefield Dr
Cincinnati, OH 45246-2007
Phone (580) 209-2070

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
748400TXMDCritical Care Medicine Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1780423947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GREENLEAF DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051235",
            "telephone_number": "580-209-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GREENLEAF DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051235",
            "telephone_number": "580-209-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 Circlefield Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452462007",
            "country_code": "US",
            "telephone_number": "580-209-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONTOC",
        "first_name": "CHERRYL JEAN",
        "middle_name": "MACABUHAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "748400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.