Individual provider Active NPI

James W Moncherry, PHD, CNA, PBT, PMU-P

  • Specialist
  • Waukee, IA
National Provider Identifier
1891533022
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
TAT-A-3659 Issued in IA
Practice address
150 SE Laurel St
Waukee, IA 50263-8262
Phone
(515) 556-3518
NPI assigned
Jul 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Specialist 174400000X TAT-A-3659 IA Primary

Addresses

Primary practice location

150 SE Laurel St
Waukee, IA 50263-8262

Mailing address

2680 Adobe Dr
Waukee, IA 50263-7119
Phone (515) 556-3518

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
TAT-A-3659IAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1891533022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 ADOBE DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502637119",
            "telephone_number": "515-556-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SE LAUREL ST",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638262",
            "telephone_number": "515-556-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCHERRY",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PHD, CNA, PBT, PMU-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-20",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "TAT-A-3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.