Cheryl Damon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4739 Issued in AK

Practice address

26731 W Point Mackenzie Rd
Wasilla, AK 99623-8709

Phone

(907) 376-4534

Fax

(907) 376-2348

NPI assigned

Apr 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Alaska Addiction Rehabilitation Services Inc. Dba Nugen'S Ranch

  • Substance Abuse Rehabilitation Facility
  • Wasilla, AK
  • NPI 1417503764
  NPD (past)

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1831752328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871545",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996871545",
            "telephone_number": "907-376-4534",
            "fax_number": "907-376-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26731 W POINT MACKENZIE RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996238709",
            "telephone_number": "907-376-4534",
            "fax_number": "907-376-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMON",
        "first_name": "CHERYL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "4739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elaine Dagenhart
• Jay Randolph Dagenhart
• Jonathan Dahlberg
• Laurie Elizabeth Dahms, M.D.
• Ashley Dail, PTA
• Dan & Robin Mingo Enterprises
• Jennifer Dancer
• Melissa Daniels
• Dannis Therapy
• Kirsten Lin Danzer, LMT

• Licensed Practical Nurse in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.