Cheryl Y Petty, RN,MSN,NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28087874A Issued in IN

Practice address

1481 W 10TH St
RM. C-1058
Indianapolis, IN 46202-2803

Phone

(317) 988-2744

Fax

(317) 988-2884

NPI assigned

Sep 6, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Cheryl Y Petty Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  Nurse Practitioner

  NPD
• Admiral Medical Supply, Inc

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1154665750
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1780787853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 CONARROE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781210",
            "telephone_number": "317-337-0488",
            "fax_number": "317-988-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "address_2": "RM. C-1058",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-988-2744",
            "fax_number": "317-988-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "CHERYL",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN,NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28087874A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "PETTY",
            "middle_name": "Y",
            "prefix": "MRS.",
            "credential": "RN,MSN,NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicholas Roman Pettit, D.O., PH.D.
• Rebecca Sue Pettit, PHARM.D.
• Cheryl Pettrie
• Jody S Petts, MD
• Benjamin D Petty, MD
• Heather Petty
• India Petty
• Frank Wood Peyton Jr., MD
• Jennifer Lynn Peyton, RD
• Marquice Shanea Peyton, BCBA

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.