Active NPI
Cher Lakeesha Nix, ISO CERTIFIED COACH
- General Practice Physician
- Pensacola, FL
National Provider Identifier
1851939813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 3070712
- Practice address
- 1820 W de Soto St
Pensacola, FL 32501-6432 - Phone
- (866) 727-9323
- Fax
- (866) 727-9323
- NPI assigned
- Dec 20, 2019
- Last updated
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 3070712 | GA | Primary |
Addresses
Primary practice location
1820 W de Soto St
Pensacola, FL 32501-6432
Mailing address
PO Box 831839
Stone Mountain, GA 30083-0031
Phone (866) 727-9323
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://dondivacoaching.com/appointment-forms | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3070712 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1851939813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 831839",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300830031",
"telephone_number": "866-727-9323",
"fax_number": "866-727-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 W DE SOTO ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325016432",
"telephone_number": "866-727-9323",
"fax_number": "866-727-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "CHER",
"middle_name": "LAKEESHA",
"name_prefix": "Ms.",
"credential": "ISO CERTIFIED COACH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "GA",
"license": "3070712",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://dondivacoaching.com/appointment-forms",
"affiliation": "N",
"endpointDescription": "Forms and Messaging Page",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "It isthe direct page for accounts and account management",
"address_1": "1820 W De Soto St",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325016432",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.