Active NPI
Cynthia Faye Hale, NP
- Women's Health Nurse Practitioner
- Yuma, AZ
National Provider Identifier
1083766422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP1045
- Practice address
- 11510 S Fortuna Rd
Ste a
Yuma, AZ 85367-7886 - Phone
- (928) 342-7046
- Fax
- (928) 342-7018
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 110298 | AZ | |
| Women's Health Nurse Practitioner | 363LW0102X | AP1045 | AZ | Primary |
Addresses
Primary practice location
11510 S Fortuna Rd
Ste a
Yuma, AZ 85367-7886
Mailing address
11510 S Fortuna Rd
Ste a
Yuma, AZ 85367-7886
Phone (928) 342-7046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 771677 | Other | AZ | AHCCCS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110298 | AZ | MD | Ambulatory Women's Health Care Registered Nurse |
| AP1045 | AZ | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1083766422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 S FORTUNA RD",
"address_2": "STE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853677886",
"telephone_number": "928-342-7046",
"fax_number": "928-342-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 S FORTUNA RD",
"address_2": "STE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853677886",
"telephone_number": "928-342-7046",
"fax_number": "928-342-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "CYNTHIA",
"middle_name": "FAYE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "AZ",
"license": "110298",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "AP1045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "771677",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.