Cheryl Kordek Stanley, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9235090 Issued in FL

Practice address

1609 Pasadena Ave S
Suite 3M
South Pasadena, FL 33707-4565

Phone

(727) 384-2016

NPI assigned

Dec 16, 2011

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

Other identifiers 1

Other names 1

• Ms. Cheryl Dianne Kordek Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choice Wellness, LLC

  • Specialist
  • Clearwater, FL
  • NPI 1215201157
  NPD

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1841569142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S",
            "address_2": "SUITE 3M",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074565",
            "telephone_number": "727-384-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S",
            "address_2": "SUITE 3M",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074565",
            "telephone_number": "727-384-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "CHERYL",
        "middle_name": "KORDEK",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9235090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GY799Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "KORDEK",
            "middle_name": "DIANNE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pamela Marie Snyder
• Samantha Snyder, PT, DPT
• Sonus-USA, Inc.
• Southern Physicians Group LLC
• Anto Stanic, PHARMD.
• Grace Mary Stenske, DPT
• Michaela Marie Strauss
• Sunrise IV Boca Ciega SL, LLC
• Dana Swope, MBA, RDN, CSOWM
• Tallahassee Orthopedic Clinic III PL (Florida Orthopaedic Institute)

• Adult Health Nurse Practitioner in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.