Active NPI
Cynthia F Gross
- Registered Nurse
- Lafayette, CO
National Provider Identifier
1114486693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0191134
- Practice address
- 2593 Park LN
Lafayette, CO 80026-3172 - Phone
- (303) 449-7740
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0191134 | CO | Primary |
Addresses
Primary practice location
2593 Park LN
Lafayette, CO 80026-3172
Mailing address
12 Benthaven PL
Boulder, CO 80305-6252
Phone (303) 818-2389
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0191134 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru Community Care | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1114486693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BENTHAVEN PL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803056252",
"telephone_number": "303-818-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2593 PARK LN",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263172",
"telephone_number": "303-449-7740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "CYNTHIA",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CO",
"license": "0191134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.