Individual provider Active NPI

Cynthia Lynn Cuson, FNP

  • Family Nurse Practitioner
  • Goose Creek, SC
National Provider Identifier
1346676277
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18484 Issued in SC
Practice address
100 Springhall Dr
Goose Creek, SC 29445-5335
Phone
(843) 572-8201
Fax
(843) 797-8491
NPI assigned
Sep 24, 2013
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18484 SC Primary

Addresses

Primary practice location

100 Springhall Dr
Goose Creek, SC 29445-5335

Mailing address

201 Sigma Dr
Ste 100
Summerville, SC 29486-7715
Phone (843) 761-2815

Other identifiers 1

IdentifierTypeStateIssuer
NP2653MedicaidSC

Other names 1

  • Ms. Cynthia Lynn Poole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20131214000028 SC Practitioner - Nurse Practitioner 6709013907

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18484SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medicos, P.a. PastSince Feb 11, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cynthia.cuson@488678167609348.direct.elationemr.com
  • Direct secure messaging: cynthia.cuson@ppcp1.eclinicaldirectplus.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1346676277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIGMA DR",
            "address_2": "STE 100",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867715",
            "telephone_number": "843-761-2815",
            "fax_number": "843-899-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGHALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455335",
            "telephone_number": "843-572-8201",
            "fax_number": "843-797-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSON",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2653",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "POOLE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.