Cynthia Blanks Cole, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172514 Issued in VA

Practice address

2212 Wilborn Ave
South Boston, VA 24592-1630

Phone

(434) 572-8921

Fax

(434) 533-4516

NPI assigned

Jun 29, 2015

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

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Halifax Internal Medicine, PLLCGroup PAC ID 4284784315, 5 clinicians

Halifax Urgent CareGroup PAC ID 4587003793, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Halifax Regional Hospital Hospital, South Boston, VA, CCN 490013

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19190/brand/1/csg/1/fhir/r4
• Direct secure messaging: cynthia.cole.1@19190.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Halifax Internal Medicine, PLLC

  • Legal Medicine
  • South Boston, VA
  • NPI 1801030119
  Medicare reassignment Care Compare group NPD
• Halifax Urgent Care

  • Internal Medicine Physician
  • South Boston, VA
  • NPI 1164285185
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Halifax Regional Hospital, Inc.

  • General Acute Care Hospital
  • South Boston, VA
  • NPI 1588668842
  Care Compare affiliation

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1316320187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921115",
            "telephone_number": "434-517-3547",
            "fax_number": "434-517-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "434-572-8921",
            "fax_number": "434-533-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CYNTHIA",
        "middle_name": "BLANKS",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Clark, RBT
• Todd C Clarkson, DDS
• Debra G. Claycomb, D.D.S.
• Candace Renee Clocker, M.D.
• CMF Transport
• Sharonda Cole
• Alexis Leigh Coleman, PA
• Debra A Collins, FNP-BC
• Shelly A Collins
• Angelin Barker Comer

• Family Nurse Practitioner in South Boston, VA
• Providers in South Boston, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.