CHERYL B PHOENIX
NPI 1104290188
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since November 13, 2015
443 FENIMORE ST, BROOKLYN, NY 11225(718) 771-0513(718) 771-0513 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheryl B Phoenix NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERYL B PHOENIX (NPI 1104290188) is an individual adult health provider in Brooklyn, New York, licensed in New York (F307556-1) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1104290188
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCHERYL B PHOENIX
Location Address443 FENIMORE STBrooklyn, NY 11225-5905
Mailing Address443 Fenimore StBrooklyn, NY 11225-5905 · (718) 771-0513 · Fax (718) 771-0513
Fax(718) 771-0513
Sole ProprietorYes
Enumeration DateNovember 13, 2015
NPI 1104290188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F307556-1
443 FENIMORE ST, Brooklyn, NY 11225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheryl Phoenix's NPI number?

The NPI number for Cheryl Phoenix is 1104290188. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Where is Cheryl Phoenix located?

Cheryl Phoenix practices at 443 Fenimore St, Brooklyn, NY 11225. The listed phone number is (718) 771-0513.

What is Cheryl Phoenix's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Cheryl Phoenix was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.