Individual provider Active NPI

Cynthia Lunette Talbert Maxwell, RN PHN

  • Registered Nurse
  • Marshall, MN
National Provider Identifier
1033313176
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R1300330 Issued in MN
Practice address
607 W Main St
Suite 200
Marshall, MN 56258-3169
Phone
(507) 537-6713
NPI assigned
Jun 13, 2007
Last updated
May 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1300330 MN Primary

Addresses

Primary practice location

607 W Main St
Suite 200
Marshall, MN 56258-3169

Mailing address

607 W Main St
Suite 200
Marshall, MN 56258-3169
Phone (507) 537-6713

Other names 1

  • Mrs. Cynthia Lunette Avey Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R1300330MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1033313176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583169",
            "telephone_number": "507-537-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583169",
            "telephone_number": "507-537-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT MAXWELL",
        "first_name": "CYNTHIA",
        "middle_name": "LUNETTE",
        "name_prefix": "Mrs.",
        "credential": "RN PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1300330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "AVEY",
            "middle_name": "LUNETTE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.