Cynthia Kresse

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A01139 Issued in AR

Practice address

146A Passion Play Rd
Eureka Springs, AR 72632

Phone

(479) 253-9746

Fax

(479) 253-2464

NPI assigned

Apr 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

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.

• Washington Regional Medical System

  dba Washington Regional Family Clinic Eureka Springs

  • Family Medicine Physician
  • Eureka Springs, AR
  • NPI 1437102662
  Medicare reassignment NPD
• Washington Regional Medical System

  dba Washington Regional Family Clinic - Farmington

  • Family Medicine Physician
  • Farmington, AR
  • NPI 1275839011
  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235196569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020879",
            "telephone_number": "479-713-7115",
            "fax_number": "479-713-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146A PASSION PLAY RD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "72632",
            "telephone_number": "479-253-9746",
            "fax_number": "479-253-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSE",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "5U772",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John House Properties, Inc. (Health First Clinic)
• Anna Johnson, LCSW
• Daniel Ray Jones, M.D.
• Kenneth H. Covington DDS
• Jon Michael Krannichfeld, M.D.
• Gregory Kresse
• Lakeside Physical Therapy, Inc.
• Neal Christopher Lawrence, M.D.
• Nathan Lipe, O.D.
• Adam Marinus Louderback, MHPP

• Nurse Practitioner in Eureka Springs, AR
• Providers in Eureka Springs, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.