Individual provider Active NPI

Cynthia Elizabeth Rider, ARNP

  • Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1023594710
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1744342 Issued in FL
Practice address
3745 11TH Cir Ste 103
Vero Beach, FL 32960-4838
Phone
(772) 567-4825
Fax
(772) 567-8856
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1744342 FL Primary

Addresses

Primary practice location

3745 11TH Cir Ste 103
Vero Beach, FL 32960-4838

Mailing address

3745 11TH Cir Ste 103
Vero Beach, FL 32960-4838
Phone (772) 567-4825

Other practice location 1

8005 83rd Ave Ste 1
Sebastian, FL 32958-3244
Phone (772) 589-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1744342FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1023594710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 11TH CIR STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604838",
            "telephone_number": "772-567-4825",
            "fax_number": "772-567-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 11TH CIR STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604838",
            "telephone_number": "772-567-4825",
            "fax_number": "772-567-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8005 83rd Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583244",
            "country_code": "US",
            "telephone_number": "772-589-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDER",
        "first_name": "CYNTHIA",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1744342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.