Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730165788 Deactivated / Inactive NPI Female Practitioner

Cheryl Jane White , NP

Nurse Practitioner • Flora, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cheryl White has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 21, 2005
NPI Deactivation Date August 30, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Cheryl White, NP was a registered Nurse Practitioner practicing in Flora, IL. Throughout an active medical career spanning 18 years, Cheryl White provided care at the practice location at 929 STACY BURK DRIVE until profile deactivation on 2023-08-30.

Practice Location & Contact Primary Location

Practice Address

929 Stacy Burk Drive

Flora, IL 628393241

Telephone 6186622191
Fax 6186622292
Associated Practice Facility / Clinic
🏢 County Of Clay Facility NPI 1235990276

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Flora, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Flora, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-004125

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1144737248

Registered Nurse, CHC

Angela Casolari , APN

Nurse Practitioner - Family

NPI 1316338890

Advanced Practice Nurse

Susan Mack , RN, FNP

Nurse Practitioner - Family

NPI 1396955316

Registered Nurse, Family Nurse Practitioner

NPI 1447450085

Doctor of Medicine (M.D.)

Gayle Erxleben , APN

Nurse Practitioner - Adult Health

NPI 1497770234

Advanced Practice Nurse

Jeanne Holdren , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497860811

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2023

Record deactivated on August 30, 2023

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 24, 2016

Registered at 929 STACY BURK DRIVE, FLORA, IL 628393241 (Tel: 6186622191)

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Updated Business Mailing Address May 24, 2016

Registered at 929 STACEY BURK DR, FLORA, IL 628393241 (Tel: 6186622191)

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Provider Name / Credentials Updated May 24, 2016

Recorded as CHERYL WHITE, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Nurse Practitioner (License #209-004125 in IL)

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Initial NPI Registration & Enumeration December 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730165788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2005
Last Update: May 24, 2016
Deactivation Date: August 30, 2023

Mailing Address

929 Stacey Burk Dr

Flora, IL 628393241

Phone: 6186622191

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.