Cynthia Standard

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT000612 Issued in GA

Practice address

545 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-3390

Phone

(678) 377-2833

Fax

(678) 377-2882

NPI assigned

Mar 13, 2013

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

State licenses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1144561200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HUNTINGTON HILL TRCE",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194295",
            "telephone_number": "770-271-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 OLD NORCROSS RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463390",
            "telephone_number": "678-377-2833",
            "fax_number": "678-377-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDARD",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Stallworth, BSN RN IBCLC
• Devona M. Stalnaker-Shofner, LPC
• Anne Stambaugh, RN
• Jordan Mackenzie Stamper, NP
• Amanda Stamps, BCBA
• Kimberly Stanford, PT, DPT, OCS
• Sean Stanford Sr.
• Tiffany Stanford, LPC, NCC
• Star Shoes Corporation
• Star&Believe Health Care, LLC

• Occupational Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.