Cynthia Cartwright

Individual provider Active NPI Licensed Vocational Nurse · Jefferson, TX

NPI 1336640705 · NPPES record last updated Feb 21, 2018

Key facts

NPI
1336640705
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
116175 (TX)
Practice address
120 N Walnut St
Jefferson, TX 75657-1934
Phone
(903) 665-6131
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116175TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First in Pediatrics Home Health Care, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 116175 TX Yes

Addresses

Primary practice location

120 N Walnut St
Jefferson, TX 75657-1934

Mailing address

913 Westbury Dr
Lufkin, TX 75901-2533

Other providers in Jefferson, TX

All providers in Jefferson, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.