Active NPI
Cynthia K Nash, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Corbin, KY
National Provider Identifier
1366638645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3005334
- Practice address
- 1 Trillium Way
Corbin, KY 40701-8426 - Phone
- (606) 528-1212
- Fax
- (606) 523-8721
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3005334 | KY | Primary |
Addresses
Primary practice location
1 Trillium Way
Corbin, KY 40701-8426
Mailing address
PO Box 1325
Corbin, KY 40702-1325
Phone (606) 526-8131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100259790 | Medicaid | KY | |
| P01458989 | Other | KY | RR MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3005334 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life & Health Services | Past | Accepting new patients | |
| Cumberland River Behavioral Health, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Corbin, KY
- NPI 1902023526
-
- Clinical Psychologist
- Middlesboro, KY
- NPI 1568864734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1366638645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1325",
"city": "CORBIN",
"state": "KY",
"postal_code": "407021325",
"telephone_number": "606-526-8131",
"fax_number": "606-528-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TRILLIUM WAY",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018426",
"telephone_number": "606-528-1212",
"fax_number": "606-523-8721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "CYNTHIA",
"middle_name": "K",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3005334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100259790",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01458989",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.