Cynthia J Rushing, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R698164 Issued in MS

Practice address

4929 Hwy 351 S
Nettleton, MS 38858

Phone

(662) 963-9154

Fax

(662) 963-9157

NPI assigned

Dec 22, 2005

Last updated

May 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS

  Medicare reassignment NPD
• Evergreen Family Medical Clinic Inc

  • Rural Health Clinic/Center
  • Nettleton, MS
  • NPI 1689860629
  Authorized official Same address or phone
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• John W. White, Jr., MD, PA

  dba Express Care South

  • Legal Medicine
  • Verona, MS
  • NPI 1962415117
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1215913074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 HWY 351 S",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "388586901",
            "telephone_number": "662-963-9154",
            "fax_number": "662-963-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 HWY 351 S",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-963-9154",
            "fax_number": "662-963-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R698164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123454",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "500002126",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nettleton Family Clinic
• Nettleton Family Medical Clinic, Inc.
• Nettleton Medical Express Care LLC
• Kimberly Ray
• Deborra Cassandra Rikard, NCC, LPC
• Saving Grace Respite Center
• Select Choice at Home Family Care
• Christopher Jarvene Shackelford, RPH
• Thomas Andrew Spradling
• Walter Andrews Thames Jr., DMD

• Family Nurse Practitioner in Nettleton, MS
• Providers in Nettleton, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.