Cindy A Phelan, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

2824 Issued in AR

Practice address

8434 Phoenix Ave
Suiteg
Fort Smith, AR 72903-6143

Phone

(479) 883-8851

NPI assigned

Oct 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Cynthia A Phelan Other name

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": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1174927628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 GASCONY WAY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036342",
            "telephone_number": "479-883-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 PHOENIX AVE",
            "address_2": "SUITEG",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036143",
            "telephone_number": "479-883-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "CINDY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AR",
            "license": "2824",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "PHELAN",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Victor Pharis, DPT
• Pharmaceutical Investment Corp.
• Pharmacy Specialties Group (Inc)
• Sonexay Phasouvor, MHPP
• Taylor Phavong
• Philip E.Roberts, P.a.
• Chelsea Beth Phillips Claybrook, PTA
• Alec Phillips
• Candy Michelle Phillips
• David Paul Phillips, DDS

• Specialist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.