Individual provider Active NPI

Cindy E Douthitt, RN MSN FNP

  • Nurse Practitioner
  • Worthington, IN
National Provider Identifier
1457310864
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001024A Issued in IN
Practice address
102 E Main St
Worthington, IN 47471-1603
Phone
(812) 847-4481
NPI assigned
Mar 23, 2006
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001024A IN Primary

Addresses

Primary practice location

102 E Main St
Worthington, IN 47471-1603

Mailing address

429 S 6TH St
Vincennes, IN 47591-1022
Phone (812) 885-3703

Other practice location 1

1985 E Freedom Dr
Newberry, IN 47449-7125
Phone (812) 847-4481

Other practice location 2

55 N Judge St
Bloomfield, IN 47424-1231
Phone (812) 847-4481

Other practice location 3

1210 N 1000 W
Linton, IN 47441-5013
Phone (812) 847-4481

Other practice location 4

429 S 6th St
Vincennes, IN 47591-1022
Phone (812) 885-3703

Other identifiers 2

IdentifierTypeStateIssuer
1050074OtherINANTHEM
200322320MedicaidIN

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
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care of Bloomington PC Past Accepting new patients
Sullivan County Community Hospital Past Accepting new patients
Monroe Physicians Group Past Accepting new patients

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1457310864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S 6TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911022",
            "telephone_number": "812-885-3703",
            "fax_number": "812-885-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E MAIN ST",
            "city": "WORTHINGTON",
            "state": "IN",
            "postal_code": "474711603",
            "telephone_number": "812-847-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 E Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "IN",
            "postal_code": "474497125",
            "country_code": "US",
            "telephone_number": "812-847-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 N Judge St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "IN",
            "postal_code": "474241231",
            "country_code": "US",
            "telephone_number": "812-847-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 N 1000 W",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "474415013",
            "country_code": "US",
            "telephone_number": "812-847-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911022",
            "country_code": "US",
            "telephone_number": "812-885-3703",
            "fax_number": "812-885-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUTHITT",
        "first_name": "CINDY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RN MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001024A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1050074",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200322320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.