Active NPI
Cynthia Monroe
- Orthotic Fitter
- Jacksonville, NC
National Provider Identifier
1356546089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 1715 Country Club Rd Ste B
Jacksonville, NC 28546-6042 - Phone
- (910) 238-2026
- Fax
- (910) 238-2656
- NPI assigned
- Jun 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Primary | ||
| Mastectomy Fitter | 224900000X | CFM01154 | NC | |
| Orthotic Fitter | 225000000X | CFO04639 | NC |
Addresses
Primary practice location
1715 Country Club Rd Ste B
Jacksonville, NC 28546-6042
Mailing address
1715 Country Club Rd Ste B
Jacksonville, NC 28546-6042
Phone (910) 238-2026
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356546089 | Medicaid | NC | |
| 7795158 | Medicaid | NC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFM01154 | NC | MD | Mastectomy Fitter |
| CFO04639 | NC | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1356546089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 COUNTRY CLUB RD STE B",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466042",
"telephone_number": "910-238-2026",
"fax_number": "910-238-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 COUNTRY CLUB RD STE B",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466042",
"telephone_number": "910-238-2026",
"fax_number": "910-238-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "NC",
"license": "CFM01154",
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NC",
"license": "CFO04639",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356546089",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795158",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.