Individual provider Active NPI

Cynthia Gaia

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1083254544
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005933 Issued in TN
Practice address
1574 Cedar Farms CV
Cordova, TN 38016-6143
Phone
(901) 598-0318
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000005933 TN Primary

Addresses

Primary practice location

1574 Cedar Farms CV
Cordova, TN 38016-6143

Mailing address

1574 Cedar Farms CV
Cordova, TN 38016-6143
Phone (901) 598-0318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626002888 TN Order and Referring Only - General PracticePractitioner - General Practice 1153833835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000005933TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1083254544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 CEDAR FARMS CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166143",
            "telephone_number": "901-598-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 CEDAR FARMS CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166143",
            "telephone_number": "901-598-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIA",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.