Cheryl Lynn Lauderdale, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1073549 Issued in TX

Practice address

1835 W Main St
Gun Barrel City, TX 75156-4401

Phone

(903) 385-3115

Fax

(903) 803-1007

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Mental Health and Wellness PLLCGroup PAC ID 0143674499, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gun Barrel City, TX
  • NPI 1437830825

  Family

  Medicare reassignment Care Compare group NPD
• QV Urgent Care TX PLLC

  • Family Medicine Physician
  • Henderson, TX
  • NPI 1568098887
  Medicare reassignment NPD
• QV Urgent Care TX PLLC

  • Rural Health Clinic/Center
  • Madisonville, TX
  • NPI 1669198347
  NPD

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1811647571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-385-3115",
            "fax_number": "903-803-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-385-3115",
            "fax_number": "903-803-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 W Dallas St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "751031323",
            "country_code": "US",
            "telephone_number": "903-385-3115",
            "fax_number": "903-803-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUDERDALE",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "858522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073549",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1073549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Richard James, O.D.
• Jen Mann Chuongmdpa
• Julie Nell Kilcrease, FNP
• Tina Nicole Killian, NCC, LPC-ASSOCIATE
• Lakeview Home Companion Care,LLC
• LS and SS, Inc.
• Asiya Mahmood, M.D
• Gregory Scott Marshall, D.D.S.
• Veronique Matthews, DMD
• Nicole Matus, FNP

• Psychiatric/Mental Health Nurse Practitioner in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.