Individual provider Active NPI

Cynthia S Ludwick, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Laconia, NH
National Provider Identifier
1376892737
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
047751-23 Issued in NH
Practice address
111 Church St
Laconia, NH 03246-3432
Phone
(603) 524-1100
NPI assigned
Aug 31, 2012
Last updated
Aug 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 047751-23 NH Primary

Addresses

Primary practice location

111 Church St
Laconia, NH 03246-3432

Mailing address

111 Church St
Laconia, NH 03246-3432
Phone (603) 524-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20121113000054 NH Practitioner - Nurse Practitioner 5799936191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Willowdale Counseling Center PLLCGroup PAC ID 4385889112, 4 clinicians
Willowdale Counseling Center II PLLCGroup PAC ID 4486129442, 3 clinicians

Practice addresses (Care Compare)

76 Northeastern Blvd
Suite 36a
Nashua, NH 03062-3196
Phone (603) 881-7554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047751-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willowdale Counseling Center, PLLC CurrentSince May 1, 2016 Accepting new patients
Healthfirst Family Care Center, Inc. Past Accepting new patients

Locations

76 Northeastern Blvd
Ste 36A
Nashua, NH 03062
Phone (603) 400-2745

Organizations & group practices 3

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1376892737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463432",
            "telephone_number": "603-524-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463432",
            "telephone_number": "603-524-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWICK",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "047751-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.