Individual provider Active NPI

Cheryl I Denzik, NP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Louisville, KY
National Provider Identifier
1821294042
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
3002586 Issued in KY
Practice address
3430 Newburg Rd
Suite 212
Louisville, KY 40218-2497
Phone
(502) 454-8800
Fax
(502) 736-0140
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 3002586 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1064209 KY

Addresses

Primary practice location

3430 Newburg Rd
Suite 212
Louisville, KY 40218-2497

Mailing address

3430 Newburg Rd Ste 210
Louisville, KY 40218-2458
Phone (502) 454-8800

Other identifiers 1

IdentifierTypeStateIssuer
78007242MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20131106000871 KY Practitioner - Certified Clinical Nurse Specialist (CNS) 1153418959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1064209KYMDPsychiatric/Mental Health Nurse Practitioner
3002586KYMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Charles Bensenhaver III LLC CurrentSince Jan 31, 2023 Accepting new patients
Louisville Behavioral Health Systems PLLC Psychiatric/Mental Health CurrentSince Aug 20, 2013 Accepting new patients
Zafrin B Syed, M.D., PLLC Past Accepting new patients

Locations

3430 Newburg Rd
Ste 212
Louisville, KY 40218
Phone (502) 454-8800

3430 Newburg Rd
Ste 210
Louisville, KY 40218
Phone (502) 225-4900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1821294042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182458",
            "telephone_number": "502-454-8800",
            "fax_number": "502-736-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD",
            "address_2": "SUITE 212",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182497",
            "telephone_number": "502-454-8800",
            "fax_number": "502-736-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENZIK",
        "first_name": "CHERYL",
        "middle_name": "I",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "KY",
            "license": "3002586",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "1064209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78007242",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.