Individual provider Active NPI

Cynthia Bohen, APRN

  • Nurse Practitioner
  • Mt Sterling, KY
National Provider Identifier
1538166541
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002096 Issued in KY
Practice address
425 N Maysville St
Mt Sterling, KY 40353-1050
Phone
(606) 783-6805
Fax
(606) 783-6869
NPI assigned
Jul 5, 2005
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3002096 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3002096 KY
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 2096-S KY

Addresses

Primary practice location

425 N Maysville St
Mt Sterling, KY 40353-1050

Mailing address

3805 CCC TRL
Morehead, KY 40351-9609
Phone (606) 784-3519

Other practice location 1

245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone (606) 780-5500

Other identifiers 4

IdentifierTypeStateIssuer
78013612MedicaidKY
000000353507OtherKYANTHEM BLUE CROSS AND BLU
30610026MedicaidKY
000000341735OtherANTHEM BC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220321001627 KY Practitioner - Certified Clinical Nurse Specialist (CNS) 6800853748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2096KYMDSpeech-Language Pathologist
2096-SKYMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 2, 2024 Accepting new patients
Life in Motion LLC Psychiatric/Mental Health Current Accepting new patients
Life in Motion LLC Current Accepting new patients
Benchmark Psychiatric Services LTD Psychiatric/Mental Health Past Accepting new patients
Family Care Clinic, PLLC Past Accepting new patients
Journey Well, Inc PastSince Jun 1, 2000 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

Interoperability endpoints

  • Direct secure messaging: cynthiabohen@arh.medalliesdirect.net

Organizations & group practices 6

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1538166541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 CCC TRL",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403519609",
            "telephone_number": "606-784-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N MAYSVILLE ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531050",
            "telephone_number": "606-783-6805",
            "fax_number": "606-783-6869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Flemingsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511015",
            "country_code": "US",
            "telephone_number": "606-780-5500",
            "fax_number": "606-783-7281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHEN",
        "first_name": "CYNTHIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-02-03",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002096",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3002096",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KY",
            "license": "2096-S",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013612",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "000000353507",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000341735",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "endpointDescription": "outpatient",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 N Maysville St",
            "city": "MT Sterling",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403531050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.