Cindy a Mayberry Apn LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

100516 Issued in MO

Legal business name

CINDY A MAYBERRY APN LLC

Practice address

705 E Laharpe St Ste D
Kirksville, MO 63501-4526

Phone

(660) 665-3545

Fax

(660) 665-3226

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Cindy Mayberry

Title

Nurse Practitioner

Phone

(660) 665-3545

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1508254954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E LAHARPE ST STE D",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E LAHARPE ST STE D",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014526",
            "telephone_number": "660-665-3545",
            "fax_number": "660-665-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY A MAYBERRY APN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "660-665-3545"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MO",
            "license": "100516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM",
            "identifier": "633829",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "182570",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429173503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles M Zeman DO PC
• Michael Chastain, ATC
• Bailey Carol Christman, LPN
• Gemma A Ciesemier, DO
• Lawrence Lester Ciesemier, D.O
• Susana Cisneros, MA, PLPC
• Terri Lynn Clay, MA, CCC-SLP
• Cleaver Dermatology PC
• David Wesley Cleaver, D.O.
• Jonathan Lloyd Cleaver, D.O.

• Psychiatric/Mental Health Clinical Nurse Specialist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.