Individual provider Active NPI

Cynthia Gaye Herda-Keith, RN

  • Registered Nurse
  • Peoria, AZ
National Provider Identifier
1366195919
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
242933 Issued in AZ
Practice address
6942 W Olive Ave Lot 70
Peoria, AZ 85345-7266
Phone
(740) 617-7871
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 242933 AZ Primary

Addresses

Primary practice location

6942 W Olive Ave Lot 70
Peoria, AZ 85345-7266

Mailing address

6942 W Olive Ave Lot 70
Peoria, AZ 85345-7266
Phone (740) 617-7871

Other names 1

  • Cynthia G Herda Professional name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
242933AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1366195919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 W OLIVE AVE LOT 70",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457266",
            "telephone_number": "740-617-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 W OLIVE AVE LOT 70",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457266",
            "telephone_number": "740-617-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDA-KEITH",
        "first_name": "CYNTHIA",
        "middle_name": "GAYE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "242933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HERDA",
            "middle_name": "G",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.