Individual provider Active NPI

Cheryl Middleton

  • Family Nurse Practitioner
  • Henderson, TN
National Provider Identifier
1851721385
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18323 Issued in TN
Practice address
541 W Park PL
Henderson, TN 38340-2027
Phone
(731) 989-1007
Fax
(731) 989-0704
NPI assigned
Nov 19, 2013
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000145726 TN
Family Nurse Practitioner 363LF0000X 18323 TN Primary

Addresses

Primary practice location

541 W Park PL
Henderson, TN 38340-2027

Mailing address

541 W Park PL
Henderson, TN 38340-2027
Phone (731) 989-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140327002209 TN Practitioner - Nurse Practitioner 6709017189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WTPC, LLCGroup PAC ID 2668886409, 4 clinicians

Practice addresses (Care Compare)

541 W Park PL
Henderson, TN 38340-2027
Phone (731) 989-1007

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000145726TNMDRegistered Nurse
18323TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WTPC, LLC CurrentSince Jan 27, 2021 Accepting new patients

Locations

541 W Park Pl
Henderson, TN 38340
Phone (731) 506-4242

541 W Park Pl
Ste C
Henderson, TN 38340
Phone (731) 983-0499

557 W Park Pl
Henderson, TN 38340
Phone (731) 989-1007

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1851721385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W PARK PL",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402027",
            "telephone_number": "731-989-1007",
            "fax_number": "731-989-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W PARK PL",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402027",
            "telephone_number": "731-989-1007",
            "fax_number": "731-989-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000145726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

Verify at the official NPI Registry.