Active NPI
Cynthia S Hockman, ARNP
- Pediatric Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1447242540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C057769
- Practice address
- 1212 Pleasant St
Suite 300
Des Moines, IA 50309-1453 - Phone
- (515) 241-6000
- Fax
- (515) 241-8728
- NPI assigned
- Aug 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | C057769 | IA | Primary |
Addresses
Primary practice location
1212 Pleasant St
Suite 300
Des Moines, IA 50309-1453
Mailing address
1212 Pleasant St
Suite 300
Des Moines, IA 50309-1453
Phone (515) 241-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447242540 | Medicaid | IA | |
| 175150076 | Other | MEDICARE |
Other names 1
- Cynthia S Johnson
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 |
|---|---|---|---|
| C057769 | IA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1447242540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "SUITE 300",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091453",
"telephone_number": "515-241-6000",
"fax_number": "515-241-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "SUITE 300",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091453",
"telephone_number": "515-241-6000",
"fax_number": "515-241-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKMAN",
"first_name": "CYNTHIA",
"middle_name": "S",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IA",
"license": "C057769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447242540",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "175150076",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "JOHNSON",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.