Cindy Kay Gross, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.263219 Issued in IL

Practice address

70 Alexander St
Eldorado, IL 62930-3390

Phone

(618) 273-9057

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1104564111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 ELDORADO BLACKTOP RD",
            "city": "RIDGWAY",
            "state": "IL",
            "postal_code": "629792121",
            "telephone_number": "618-313-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ALEXANDER ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303390",
            "telephone_number": "618-273-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "CINDY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.263219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Glad, MS COUNSELING
• Annette Gwyn Glover, LPN
• Daphne Marie Wallace Gribble, CCC-SLP
• Linda Griffin, BSW
• David R Groh, DC
• David A Gunzel, D.P.M.
• Luke Tyler Hall, M.D.
• Gary Hamilton, MSW, LSW, CADC, QMHP
• Michael Handwerk, PHD
• Kyle Harbison

• All providers in Eldorado, IL
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.