Individual provider Active NPI

Cynthia Hodgins, APRN

  • Nurse Practitioner
  • Bastrop, TX
National Provider Identifier
1184707069
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
602731 Issued in TX
Practice address
301 Highway 71 W
Suite 110
Bastrop, TX 78602-4105
Phone
(512) 985-6082
Fax
(512) 985-6691
NPI assigned
Oct 23, 2006
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 602731 TX Primary

Addresses

Primary practice location

301 Highway 71 W
Suite 110
Bastrop, TX 78602-4105

Mailing address

2007 Vivian Dr
Round Rock, TX 78681-1422
Phone (512) 246-2999

Other identifiers 1

IdentifierTypeStateIssuer
038144222OtherANCC CERTIFICATION NUMBER

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

LicenseStateTypeSpecialty
602731TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Austin - Initiatives Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1184707069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 VIVIAN DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811422",
            "telephone_number": "512-246-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W",
            "address_2": "SUITE 110",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024105",
            "telephone_number": "512-985-6082",
            "fax_number": "512-985-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGINS",
        "first_name": "CYNTHIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "602731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION NUMBER",
            "identifier": "038144222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.