Cynthia Garner Scrimshaw, APRN, PMHNP

Key facts

NPI: 1295854495
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 058983-23 (NH)
Practice address: 81 Highland St
Suite B
Plymouth, NH 03264-1249
Phone: (603) 536-5311
Fax: (603) 536-5311
NPI assigned: Mar 28, 2007
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	058983-23	NH	Yes

Addresses

Primary practice location

81 Highland St
Suite B
Plymouth, NH 03264-1249

Mailing address

81 Highland St
Suite B
Plymouth, NH 03264-1249
Phone (603) 536-5311

Other identifiers

Identifier	Type	State	Issuer
30346630	Medicaid	NH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 28, 2013.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1295854495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND ST",
            "address_2": "SUITE B",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641249",
            "telephone_number": "603-536-5311",
            "fax_number": "603-536-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND ST",
            "address_2": "SUITE B",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641249",
            "telephone_number": "603-536-5311",
            "fax_number": "603-536-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIMSHAW",
        "first_name": "CYNTHIA",
        "middle_name": "GARNER",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "058983-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346630",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

All providers in Plymouth, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.