Provider Demographics
NPI:1619858396
Name:COVINGTON, CHEYENNE STORM
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:STORM
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:752 N STATE ST STE 419
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9066
Mailing Address - Country:US
Mailing Address - Phone:614-352-9850
Mailing Address - Fax:
Practice Address - Street 1:752 N STATE ST STE 419
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9066
Practice Address - Country:US
Practice Address - Phone:614-352-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health