Cindy Renee Sundeen, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

20-9003408 Issued in IL

Practice address

1405 W Park St Ste a
Urbana, IL 61801-2367

Phone

(217) 337-4310

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1144252891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E SPRINGFIELD AVE",
            "address_2": "SUITE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205462",
            "telephone_number": "217-355-0926",
            "fax_number": "217-355-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W PARK ST STE A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012367",
            "telephone_number": "217-337-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDEEN",
        "first_name": "CINDY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "20-9003408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sudkamp, MD
• Ada C Sum, MD
• Ashlee Nichole Summers, LSW
• Wenjia Sun, MD
• Subashini Sundararajan, M.B.B.S.
• R.K. Sunkara, MD
• Suren Chiu Nutrition LLC
• Mitchell Sussman, MD
• Thomas L Sutter, D.O.
• Amanpreet Swaich, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Urbana, IL
• Providers in Urbana, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.