Individual provider Active NPI

Cynthia R Brunson

  • Registered Nurse
  • Silver Spring, MD
National Provider Identifier
1215508965
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R147663 Issued in MD
Practice address
12803 Marlow PL
Silver Spring, MD 20904-7143
Phone
(240) 605-6954
Fax
(301) 890-3940
NPI assigned
Jul 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R147663 MD Primary

Addresses

Primary practice location

12803 Marlow PL
Silver Spring, MD 20904-7143

Mailing address

12803 Marlow PL
Silver Spring, MD 20904-7143
Phone (240) 605-6954

Other identifiers 1

IdentifierTypeStateIssuer
5256026700MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cchc.homecare1@gmail.com Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R147663MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Centered Home Healthcare, LLC CurrentSince Jul 17, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1215508965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12803 MARLOW PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047143",
            "telephone_number": "240-605-6954",
            "fax_number": "301-890-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 MARLOW PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047143",
            "telephone_number": "240-605-6954",
            "fax_number": "301-890-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "CYNTHIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R147663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5256026700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cchc.homecare1@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12803 Marlow Pl",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209047143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.