Active NPI
Heather Lynn Cynowa, PMHNP-BC, FNP-BC
- Nurse Practitioner
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009667
- Practice address
- 304 Barcelona Dr Apt 13a
Fayetteville, NC 28303-5752 - Phone
- (984) 304-8330
- Fax
- (984) 305-8331
- NPI assigned
- Apr 19, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009667 | NC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024027949 | NC | |
| Family Nurse Practitioner | 363LF0000X | 2017002067 | NC |
Addresses
Primary practice location
304 Barcelona Dr Apt 13a
Fayetteville, NC 28303-5752
Mailing address
1023 Fairfield Cir
Raeford, NC 28376-6607
Phone (910) 550-3803
Other practice location 1
2817 Reilly St
Byars Health Clinic
Fort Bragg, NC 28310-7324
Phone (910) 907-7673
Other practice location 2
204 Westwood Shopping Ctr
Fayetteville, NC 28314-1528
Phone (910) 676-7570
Other practice location 3
2000 Fort Bragg Rd Ste 4
Fayetteville, NC 28303-7041
Phone (984) 304-8330
Other practice location 4
517 Deerpath Dr
Fayetteville, NC 28311-1231
Phone (910) 574-3297
Other practice location 5
2000 Fort Bragg Rd Ste 4
Fayetteville, NC 28303-7041
Phone (910) 574-3297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009667 | NC | MD | Nurse Practitioner |
| 2017002067 | NC | MD | Family Nurse Practitioner |
| 2024027949 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KV Consultants & Associates Inc | Current | Accepting new patients | |
| Break the Stigma, PLLC | Family | Current | Accepting new patients |
| Hodges Family Pharmacy LLC | Past | Accepting new patients | |
| Kindred Spirit Counseling Services PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
803 Stamper Rd
Ste G
Fayetteville, NC 28303
Phone (910) 223-7114
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1700856788
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, NC
- NPI 1083506109
Family
-
- Community/Retail Pharmacy
- Fayetteville, NC
- NPI 1013384668
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1669289336
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1114451754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 FAIRFIELD CIR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283766607",
"telephone_number": "910-550-3803",
"fax_number": "910-550-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 BARCELONA DR APT 13A",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035752",
"telephone_number": "984-304-8330",
"fax_number": "984-305-8331"
}
],
"practiceLocations": [
{
"address_1": "2817 Reilly St",
"address_2": "Byars Health Clinic",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "NC",
"postal_code": "283107324",
"country_code": "US",
"telephone_number": "910-907-7673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 Westwood Shopping Ctr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283141528",
"country_code": "US",
"telephone_number": "910-676-7570",
"fax_number": "910-676-7572",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Fort Bragg Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283037041",
"country_code": "US",
"telephone_number": "984-304-8330",
"fax_number": "984-304-8331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "517 Deerpath Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283111231",
"country_code": "US",
"telephone_number": "910-574-3297",
"fax_number": "888-649-2671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Fort Bragg Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283037041",
"country_code": "US",
"telephone_number": "910-574-3297",
"fax_number": "888-649-2671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CYNOWA",
"first_name": "HEATHER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009667",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "2024027949",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "2017002067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.