Childrens and Family Health Clinic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71003925A Issued in IN

Legal business name

CHILDRENS AND FAMILY HEALTH CLINIC

Practice address

205 E 86TH CT
Merrillville, IN 46410-6259

Phone

(219) 769-9070

Fax

(219) 769-1758

NPI assigned

Apr 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Azra Shibli Sheriff, M.D.

Title

President

Phone

(219) 769-9070

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1851657779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 86TH CT",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106259",
            "telephone_number": "219-769-9070",
            "fax_number": "219-769-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 86TH CT",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106259",
            "telephone_number": "219-769-9070",
            "fax_number": "219-769-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS AND FAMILY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "SHERIFF",
        "authorized_official_first_name": "AZRA",
        "authorized_official_middle_name": "SHIBLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003925A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003925B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaud Cherry
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• Childrens and Family Health Clinic
• Childrens Dental Center of Northwest Indiana Inc
• Gerald Wayne Childs Jr., D.D.S.
• Edna Chima
• Marcia Lynn Chimino, APRN
• Nicholas Chimitris

• Nurse Practitioner in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.