Individual provider Active NPI

Cheryl Andreas, RN

  • Diabetes Educator Registered Nurse
  • Seneca Falls, NY
National Provider Identifier
1811432958
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
702602 Issued in NY
Practice address
1991 Balsley Rd
Seneca Falls, NY 13148-6725
Phone
(315) 539-9229
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 702602 NY Primary

Addresses

Primary practice location

1991 Balsley Rd
Seneca Falls, NY 13148-6725

Mailing address

1991 Balsley Rd
Seneca Falls, NY 13148-6725
Phone (315) 539-9229

Other practice location 1

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (585) 922-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candreas122628@direct.rochesterregional.org

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
702602NYMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1811432958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131486725",
            "telephone_number": "315-539-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131486725",
            "telephone_number": "315-539-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562042",
            "country_code": "US",
            "telephone_number": "585-922-8400",
            "fax_number": "315-922-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREAS",
        "first_name": "CHERYL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "702602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candreas122628@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "875 Pre Emption Rd",
            "city": "Geneva",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144562042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.