Individual provider Active NPI

Cindy Celise Pike, CRNP

  • Adult Health Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1497997449
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CP.6630 Issued in AL
Practice address
1026 Goodyear Ave
Suite 200
Gadsden, AL 35903-1102
Phone
(256) 492-9924
Fax
(256) 492-9965
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CP.6630 AL Primary

Addresses

Primary practice location

1026 Goodyear Ave
Suite 200
Gadsden, AL 35903-1102

Mailing address

1026 Goodyear Ave
Suite 200
Gadsden, AL 35903-1102
Phone (256) 492-9924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alcv@195.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090929000154 AL Practitioner - Nurse Practitioner 7012063373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone (205) 971-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP.6630ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince Jan 1, 2022 Accepting new patients
Womens Health Partners LLC PastSince Sep 16, 2017 Accepting new patients

Locations

1102 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-6505

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1497997449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "SUITE 200",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "SUITE 200",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "CINDY",
        "middle_name": "CELISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "CP.6630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alcv@195.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1026 Goodyear Ave",
            "address_2": "Suite 200",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359031102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.