Individual provider Active NPI

Cynthia Ann Pressley, R.N. C.P.N.P.

  • Pediatric Nurse Practitioner
  • Midlothian, TX
National Provider Identifier
1255604021
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
577618 Issued in TX
Practice address
3271 FM 663 Ste D
Midlothian, TX 76065-7614
Phone
(972) 850-0088
NPI assigned
Feb 9, 2012
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 577618 TX Primary

Addresses

Primary practice location

3271 FM 663 Ste D
Midlothian, TX 76065-7614

Mailing address

3120 Matlock Rd
Ste 201
Arlington, TX 76015-2903
Phone (817) 467-0889

Other names 1

  • Cynthia Ann Kidman Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210406000056 TX Practitioner - Nurse Practitioner 9739596974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
577618TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pressley Pediatrics CurrentSince Dec 9, 2020 Accepting new patients
Walter Leon, M.D., P.a. Past Accepting new patients

Locations

3271 FM 663
Ste D
Midlothian, TX 76065
Phone (817) 467-0889

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1255604021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MATLOCK RD",
            "address_2": "STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152903",
            "telephone_number": "817-467-0889",
            "fax_number": "817-557-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 FM 663 STE D",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657614",
            "telephone_number": "972-850-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLEY",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "R.N. C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "577618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KIDMAN",
            "middle_name": "ANN",
            "credential": "R.N. C.P.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.