Individual provider Active NPI

Cynthia Gerstenlauer, NP

  • Nurse Practitioner
  • Troy, MI
National Provider Identifier
1487773032
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114179 Issued in MI
Practice address
4600 Investment Dr
Suite 300
Troy, MI 48098-6365
Phone
(248) 267-5000
Fax
(248) 267-5001
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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 114179 MI Primary

Addresses

Primary practice location

4600 Investment Dr
Suite 300
Troy, MI 48098-6365

Mailing address

4600 Investment Dr
Suite 300
Troy, MI 48098-6365
Phone (248) 267-5000

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

LicenseStateTypeSpecialty
114179MIMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1487773032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR",
            "address_2": "SUITE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986365",
            "telephone_number": "248-267-5000",
            "fax_number": "248-267-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR",
            "address_2": "SUITE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986365",
            "telephone_number": "248-267-5000",
            "fax_number": "248-267-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTENLAUER",
        "first_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "114179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.