Individual provider Active NPI

Cynthia Kathleen Doughty, APRN-CNP

  • Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1093155673
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.14572 Issued in OH
Practice address
1025 Refugee Rd FL 2
Pickerington, OH 43147-9861
Phone
(614) 293-8617
Fax
(614) 685-5246
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN.288485-COA 1 OH
Nurse Practitioner 363L00000X APRN.CNP.14572 OH Primary

Addresses

Primary practice location

1025 Refugee Rd FL 2
Pickerington, OH 43147-9861

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8617

Other practice location 1

2691 Sawbury Blvd
Columbus, OH 43235-4582
Phone (614) 553-7601

Other names 1

  • Cynthia K. Hicks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000716 OH Practitioner - Nurse Practitioner 3072757863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.14572OHMDNurse Practitioner
RN.288485-COA 1OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osup Community Outreach LLC CurrentSince Sep 1, 2024 Accepting new patients
Cynthia Doughty CNP Family Practice CurrentSince Nov 1, 2014 Accepting new patients
Osu General Internal Medicine LLC Nurse Practitioner PastSince Aug 25, 2024 Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

2693 Sawbury Blvd
Columbus, OH 43235
Phone (614) 553-7601

2691 Sawbury Blvd
Columbus, OH 43235
Phone (614) 553-7601

601 State Route 664 N
#966
Logan, OH 43138
Phone (740) 380-8000

1025 Refugee Rd
Fl 2
Pickerington, OH 43147
Phone (614) 293-8617

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Interoperability endpoints

  • Direct secure messaging: cdoughty609306@direct.osumc.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1093155673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8617",
            "fax_number": "614-685-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 REFUGEE RD FL 2",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479861",
            "telephone_number": "614-293-8617",
            "fax_number": "614-685-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2691 Sawbury Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432354582",
            "country_code": "US",
            "telephone_number": "614-553-7601",
            "fax_number": "614-553-7604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "CYNTHIA",
        "middle_name": "KATHLEEN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "RN.288485-COA 1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HICKS",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.