Active NPI
Cynthia Milstead, NP
- Family Nurse Practitioner
- Dothan, AL
National Provider Identifier
1033240601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-144836
- Practice address
- 4300 W Main St
Suite 300
Dothan, AL 36305-1054 - Phone
- (334) 446-0076
- Fax
- (334) 446-0203
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN090178 | GA | |
| Family Nurse Practitioner | 363LF0000X | 1-144836 | AL | Primary |
Addresses
Primary practice location
4300 W Main St
Suite 300
Dothan, AL 36305-1054
Mailing address
1414 Elba Hwy
Troy, AL 36079-6020
Phone (334) 670-6726
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181095 | Medicaid | AL | |
| 1-144836 | Other | AL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151210000860 | AL | Practitioner - Nurse Practitioner | 4183706880 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN090178 | GA | MD | Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHFGBD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1033240601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 ELBA HWY",
"city": "TROY",
"state": "AL",
"postal_code": "360796020",
"telephone_number": "334-670-6726",
"fax_number": "334-670-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MAIN ST",
"address_2": "SUITE 300",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051054",
"telephone_number": "334-446-0076",
"fax_number": "334-446-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILSTEAD",
"first_name": "CYNTHIA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN090178",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-144836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181095",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1-144836",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.