Individual provider Active NPI

Cheryle Coveney, NP

  • Pediatric Clinical Nurse Specialist
  • Indianapolis, IN
National Provider Identifier
1821367384
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
71002777A Issued in IN
Practice address
1030 E County Line Rd
B-2
Indianapolis, IN 46227-2932
Phone
(317) 887-6060
Fax
(317) 859-5944
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002777A IN
Pediatric Clinical Nurse Specialist 364SP0200X 71002777A IN Primary

Addresses

Primary practice location

1030 E County Line Rd
B-2
Indianapolis, IN 46227-2932

Mailing address

PO Box 664056
Indianapolis, IN 46266-4056
Phone (317) 528-4800

Other names 1

  • Cheryle Clinton Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71002777AINMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1821367384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664056",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462664056",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD",
            "address_2": "B-2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272932",
            "telephone_number": "317-887-6060",
            "fax_number": "317-859-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVENEY",
        "first_name": "CHERYLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002777A",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "IN",
            "license": "71002777A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYLE",
            "last_name": "CLINTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.