Individual provider Active NPI

Cynthia J Gabbard, RN, ATC

  • Psychiatric/Mental Health Registered Nurse
  • Mason, OH
National Provider Identifier
1518299346
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN-127004 Issued in OH
Practice address
201 Reading Rd
Mason, OH 45040-1666
Phone
(513) 398-2551
Fax
(513) 459-7300
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN-127004 OH Primary
Athletic Trainer 2255A2300X AT-000370 OH

Addresses

Primary practice location

201 Reading Rd
Mason, OH 45040-1666

Mailing address

204 Cook Rd
Lebanon, OH 45036-9600
Phone (513) 695-1357

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-127004OHMDPsychiatric/Mental Health Registered Nurse
AT-000370OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Centers of Warren County, Inc Past Accepting new patients

Organizations & group practices 1

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1518299346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COOK RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369600",
            "telephone_number": "513-695-1357",
            "fax_number": "513-695-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401666",
            "telephone_number": "513-398-2551",
            "fax_number": "513-459-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "RN, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN-127004",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-000370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.