=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679496822
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHERYLENE LANA NORRIS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2026
-----------------------------------------------------
Last Update Date | 08/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 225 SAGEBRUSH TRL
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27292-7319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-300-5462
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 225 SAGEBRUSH TRL
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27292-7319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-300-5462
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246Y00000X
-----------------------------------------------------
Taxonomy Name | Health Information Specialist/Technologist
-----------------------------------------------------
License Number | 2178184
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------