Active NPI
Cynthia Stumpf Cleary, PA-C
- Physician Assistant
- Apex, NC
National Provider Identifier
1285063255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001007922
- Practice address
- 2046 Creekside Landing Dr
Apex, NC 27502-3982 - Phone
- (919) 303-4777
- Fax
- (919) 303-0077
- NPI assigned
- Nov 11, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001007922 | NC | Primary |
Addresses
Primary practice location
2046 Creekside Landing Dr
Apex, NC 27502-3982
Mailing address
2046 Creekside Landing Dr
Apex, NC 27502-3982
Phone (919) 303-4777
Other practice location 1
1001 NW 13th St
Suite 100
Boca Raton, FL 33486-2269
Phone (561) 750-0544
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.radiancerx.com | Direct |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001007922 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1285063255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 CREEKSIDE LANDING DR",
"city": "APEX",
"state": "NC",
"postal_code": "275023982",
"telephone_number": "919-303-4777",
"fax_number": "919-303-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 CREEKSIDE LANDING DR",
"city": "APEX",
"state": "NC",
"postal_code": "275023982",
"telephone_number": "919-303-4777",
"fax_number": "919-303-0077"
}
],
"practiceLocations": [
{
"address_1": "1001 NW 13th St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334862269",
"country_code": "US",
"telephone_number": "561-750-0544",
"fax_number": "561-750-9873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEARY",
"first_name": "CYNTHIA",
"middle_name": "STUMPF",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-11",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001007922",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.radiancerx.com",
"affiliation": "N",
"endpointDescription": "company website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "company info",
"address_1": "2046 Creekside Landing Dr",
"city": "Apex",
"state": "NC",
"country_code": "US",
"postal_code": "275023982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.