Active NPI
Cindy Corsin Kaufman, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
National Provider Identifier
1225069073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 79042496
- Practice address
- 2411 MLK Jr Blvd
Eugene, OR 97401-5824 - Phone
- (541) 682-3608
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 79042496 | OR | Primary |
Addresses
Primary practice location
2411 MLK Jr Blvd
Eugene, OR 97401-5824
Mailing address
84284 Derbyshire LN
Eugene, OR 97405-9433
Phone (541) 682-7508
Other names 1
- Ms. Cynthia Ann Kaufman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 79042496 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1225069073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84284 DERBYSHIRE LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974059433",
"telephone_number": "541-682-7508",
"fax_number": "541-682-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 MLK JR BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015824",
"telephone_number": "541-682-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "CINDY",
"middle_name": "CORSIN",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "79042496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "KAUFMAN",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "CNM, PMHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.