Individual provider Active NPI

Cherrie Maureen Takenaka, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1982712410
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP390003432 Issued in WA
Practice address
618 W Graves Rd
Spokane, WA 99218-2317
Phone
(509) 466-1665
NPI assigned
Aug 25, 2006
Last updated
May 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP390003432 WA Primary
Registered Nurse 163W00000X RN00056735 WA

Addresses

Primary practice location

618 W Graves Rd
Spokane, WA 99218-2317

Mailing address

618 W Graves Rd
Spokane, WA 99218-2317
Phone (509) 466-1665

Other identifiers 1

IdentifierTypeStateIssuer
9624453MedicaidWA

Other names 1

  • Mrs. Cherrie Maureen Mikel Former name

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

LicenseStateTypeSpecialty
RN00056735WAMDRegistered Nurse
AP390003432WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Health & Education Services Past Accepting new patients
Family Home Care Corporation Past Accepting new patients

Organizations & group practices 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1982712410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W GRAVES RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182317",
            "telephone_number": "509-466-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W GRAVES RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182317",
            "telephone_number": "509-466-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKENAKA",
        "first_name": "CHERRIE",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP390003432",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00056735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9624453",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRIE",
            "last_name": "MIKEL",
            "middle_name": "MAUREEN",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.