Active NPI
Cheryl Lynn Webb
- Family Nurse Practitioner
- Kingman, AZ
National Provider Identifier
1891772083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN049098
- Practice address
- 1871 Gates Ave
Kingman, AZ 86401-4017 - Phone
- (925) 753-3332
- Fax
- (928) 753-2662
- NPI assigned
- Dec 28, 2005
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN049098 | AZ | Primary |
Addresses
Primary practice location
1871 Gates Ave
Kingman, AZ 86401-4017
Mailing address
1871 Gates Ave
Kingman, AZ 86401-4017
Phone (925) 753-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431817 | Other | AZ | AHCCCS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN049098 | AZ | MD | Family Nurse Practitioner |
| AP0246 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Family | Past | Accepting new patients |
| Patakens LTD | Family | Past | Accepting new patients |
| A. Paul Kalanithi MD, PC | Past | Accepting new patients |
Interoperability endpoints
- cwebb@intmed.gwaydirect.com
- cwebb18372@elrio.direct.ci.com
- https://api.platform.athenahealth.com/3629/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891772083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 GATES AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014017",
"telephone_number": "925-753-3332",
"fax_number": "928-753-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 GATES AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014017",
"telephone_number": "925-753-3332",
"fax_number": "928-753-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "CHERYL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN049098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "431817",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.