Organization Active NPI

Cynthia Doughty CNP Family Practice

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1215332192
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN288485COA1 Issued in OH
Legal business name
CYNTHIA DOUGHTY CNP FAMILY PRACTICE
Practice address
2691 Sawbury Blvd # 2691
Columbus, OH 43235-4582
Phone
(740) 589-7111
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Cynthia Kathleen Doughty, CNPNPI 1093155673
Title
Owner/ Nurse Pratitioner
Phone
(740) 553-7601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN288485COA1 OH Primary

Addresses

Primary practice location

2691 Sawbury Blvd # 2691
Columbus, OH 43235-4582

Mailing address

2691 Sawbury Blvd
Columbus, OH 43235-4582
Phone (614) 553-7601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205001803 OH Part B Supplier - Clinic/Group Practice 6901121300 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2165476Cynthia Doughty, CNP Family Practice2691 Sawbury Blvd, Columbus, OH 43235Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

Locations

530 W Union St
Ste B
Athens, OH 45701
Phone (740) 594-7050

2693 Sawbury Blvd
Columbus, OH 43235
Phone (614) 553-7601

2691 Sawbury Blvd
Columbus, OH 43235
Phone (614) 553-7601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1215332192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 SAWBURY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354582",
            "telephone_number": "614-553-7601",
            "fax_number": "614-553-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 SAWBURY BLVD # 2691",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354582",
            "telephone_number": "740-589-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA DOUGHTY CNP FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "DOUGHTY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/ NURSE PRATITIONER",
        "authorized_official_telephone_number": "740-553-7601",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN288485COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.