Provider Demographics
NPI:1730627829
Name:RUMPH, CHERYL L (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:RUMPH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27524 CASHFORD CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6947
Mailing Address - Country:US
Mailing Address - Phone:813-515-0383
Mailing Address - Fax:813-906-7789
Practice Address - Street 1:27524 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6947
Practice Address - Country:US
Practice Address - Phone:813-515-0383
Practice Address - Fax:813-906-7789
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9223004363LA2100X
FLAPRN9223004363LF0000X, 363LP0808X
COC-RXN.0102688-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020251500Medicaid
FL020251500Medicaid
FLIX459Z-TPAMedicare PIN