Individual provider Active NPI

Cynthia S Knight, APRN

  • Nurse Practitioner
  • Seaford, DE
National Provider Identifier
1134199029
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG0000379 Issued in DE
Practice address
1 Cedar Ave
Seaford, DE 19973-3300
Phone
(302) 629-2366
Fax
(302) 629-6570
NPI assigned
Jan 24, 2006
Last updated
May 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG0000379 DE Primary

Addresses

Primary practice location

1 Cedar Ave
Seaford, DE 19973-3300

Mailing address

1 Cedar Ave
Seaford, DE 19973-3300
Phone (302) 629-2366

Other identifiers 2

IdentifierTypeStateIssuer
1000038113MedicaidDE
510341134OtherDECOVENTRY HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20051006000392 DE Practitioner - Nurse Practitioner 7315962685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG0000379DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Physician Network, Inc. CurrentSince Jun 1, 2014 Accepting new patients

Locations

1 Cedar Ave
Seaford, DE 19973
Phone (302) 629-2366

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1134199029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CEDAR AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733300",
            "telephone_number": "302-629-2366",
            "fax_number": "302-629-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733300",
            "telephone_number": "302-629-2366",
            "fax_number": "302-629-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0000379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038113",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "510341134",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.