Individual provider Active NPI

Cheryl Duval, RN, HEALTH EDUCATOR

  • Health Educator
  • Dudley, MA
National Provider Identifier
1902201213
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
RN174741 Issued in MA
Practice address
17 Warsaw Ave
Dudley, MA 01571-3418
Phone
(508) 335-1614
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X RN174741 MA Primary

Addresses

Primary practice location

17 Warsaw Ave
Dudley, MA 01571-3418

Mailing address

17 Warsaw Ave
Dudley, MA 01571-3418
Phone (508) 335-1614

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN174741MAMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1902201213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARSAW AVE",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015713418",
            "telephone_number": "508-335-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARSAW AVE",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015713418",
            "telephone_number": "508-335-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "CHERYL",
        "credential": "RN, HEALTH EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MA",
            "license": "RN174741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dudley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.