Active NPI
Cynthia T Nelson, APN
- Nurse Practitioner
- Hot Springs, AR
National Provider Identifier
1396706180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01310
- Practice address
- One Mercy Lane,
Suite 405
Hot Springs, AR 71913-6441 - Phone
- (501) 622-3979
- Fax
- (501) 622-3993
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01310 ANP | AR | |
| Nurse Practitioner | 363L00000X | A01310 | AR | Primary |
Addresses
Primary practice location
One Mercy Lane,
Suite 405
Hot Springs, AR 71913-6441
Mailing address
PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 622-3979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136146758 | Medicaid | AR |
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 |
|---|---|---|---|
| A01310 | AR | MD | Nurse Practitioner |
| A01310 ANP | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Clinical Services | Current | Accepting new patients | |
| CHI St. Vincent Medical Group Hot Springs | Current | Accepting new patients | |
| Icarepro of Texas, PA | Past | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients |
Locations
234 E Broadway
Glenwood, AR 71943
Phone (870) 356-4821
1 Mercy Ln
Ste 405
Hot Springs National Park, AR 71913
Phone (501) 622-1939
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Glenwood, AR
- NPI 1154651982
-
- Family Medicine Physician
- Hot Springs, AR
- NPI 1003883570
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
- Clinical Nurse Specialist
- Texarkana, TX
- NPI 1396193066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1396706180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21850",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719031850",
"telephone_number": "501-622-3979",
"fax_number": "501-622-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MERCY LANE,",
"address_2": "SUITE 405",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136441",
"telephone_number": "501-622-3979",
"fax_number": "501-622-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CYNTHIA",
"middle_name": "T",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01310 ANP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136146758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.