Individual provider Active NPI

Cynthia Louise Nugent, FNP-C

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1356595524
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17350 Issued in CA
Practice address
2891 Churn Creek Rd
Suite a
Redding, CA 96002-1148
Phone
(530) 221-7474
Fax
(530) 226-6239
NPI assigned
Nov 13, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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 17350 CA Primary

Addresses

Primary practice location

2891 Churn Creek Rd
Suite a
Redding, CA 96002-1148

Mailing address

2891 Churn Creek Rd
Suite a
Redding, CA 96002-1148
Phone (530) 221-7474

Other identifiers 1

IdentifierTypeStateIssuer
17350OtherCANURSE PRACTITIONERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130627000430 CA Practitioner - Nurse Practitioner 5294974085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Andrews MD IncGroup PAC ID 4880833631, 4 clinicians

Practice addresses (Care Compare)

2891 Churn Creek Rd
Suite a
Redding, CA 96002-1148
Phone (530) 221-7474

2891 Churn Creek Rd a
Redding, CA 96002-1148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17350CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Andrews MD Inc CurrentSince Apr 1, 2013 Accepting new patients

Locations

2891 Churn Creek Rd
Redding, CA 96002
Phone (530) 221-6306

2891 Churn Creek Rd
Ste A
Redding, CA 96002
Phone (530) 221-7474

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1356595524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 CHURN CREEK RD",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021148",
            "telephone_number": "530-221-7474",
            "fax_number": "530-226-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 CHURN CREEK RD",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021148",
            "telephone_number": "530-221-7474",
            "fax_number": "530-226-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS LICENSE",
            "identifier": "17350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.