NPIMap

Organization Active NPI

Cynthia Kudji LLC

  • Family Nurse Practitioner
  • Harvey, LA
National Provider Identifier
1104014026
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CYNTHIA KUDJI LLC
Practice address
3924 Red Cypress Dr
Harvey, LA 70058-5815
Phone
(504) 782-9456
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Cynthia Kudji, FNP
Title
Family Nurse Practitioner
Phone
(504) 782-9456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3924 Red Cypress Dr
Harvey, LA 70058-5815

Mailing address

3924 Red Cypress Dr
Harvey, LA 70058-5815
Phone (504) 782-9456

Other identifiers 1

IdentifierTypeStateIssuer
1458473MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1104014026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 RED CYPRESS DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585815",
            "telephone_number": "504-782-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 RED CYPRESS DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585815",
            "telephone_number": "504-782-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA KUDJI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "KUDJI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "504-782-9456",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458473",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.