Active NPI
Cynthia T. Moffitt, NP
- Nurse Practitioner
- Wakefield, RI
National Provider Identifier
1376583138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPP25514
- Practice address
- 100 Kenyon Ave
Wakefield, RI 02879-4216 - Phone
- (401) 782-8000
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 16, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPP25514 | RI | Primary |
Addresses
Primary practice location
100 Kenyon Ave
Wakefield, RI 02879-4216
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPP25514 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Rhode Island | Past | Accepting new patients | |
| University of Rhode Island | Past | Accepting new patients | |
| University Physical Therapy | Past | Accepting new patients | |
| Atlantic Professional Services of Rhode Island Incorporated | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Wakefield, RI
- NPI 1922036946
Nurse Practitioner
-
dba URI Health Services
- Student Health Clinic/Center
- Kingston, RI
- NPI 1245455724
-
dba University of Rhode Island Health Services
- Clinic Pharmacy
- Kingston, RI
- NPI 1689018467
-
- Physical Therapist
- Kingston, RI
- NPI 1760549430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1376583138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KENYON AVE",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794216",
"telephone_number": "401-782-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFITT",
"first_name": "CYNTHIA",
"middle_name": "T.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP25514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.