Active NPI
Cynthia Kay Hyde
- Adult Health Nurse Practitioner
- Montoursville, PA
National Provider Identifier
1154742666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP013493
- Practice address
- 700 Broad St
Montoursville, PA 17754-2404 - Phone
- (570) 368-2870
- NPI assigned
- Dec 31, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP013493 | PA | Primary |
Addresses
Primary practice location
700 Broad St
Montoursville, PA 17754-2404
Mailing address
700 Broad St
Montoursville, PA 17754-2404
Phone (570) 368-2870
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013493 | PA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1154742666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542404",
"telephone_number": "570-368-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542404",
"telephone_number": "570-368-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "CYNTHIA",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP013493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.