Active NPI
Cynthia M Leiffer, NP
- Adult Health Nurse Practitioner
- Bangor, ME
National Provider Identifier
1598876104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CNP81010
- Practice address
- 900 Broadway
Bangor, ME 04401-1900 - Phone
- (207) 907-3300
- Fax
- (207) 907-1923
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CNP81010 | ME | Primary |
Addresses
Primary practice location
900 Broadway
Bangor, ME 04401-1900
Mailing address
900 Broadway
Bangor, ME 04401-1900
Phone (207) 907-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301040099 | Medicaid | ME |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millinocket Regional Hospital | Current | Accepting new patients |
Locations
200 Somerset St
Millinocket, ME 04462
Phone (207) 723-3003
899 Central St
Millinocket, ME 04462
Phone (207) 723-5173
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.
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1275646150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1598876104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044011900",
"telephone_number": "207-907-3300",
"fax_number": "207-907-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044011900",
"telephone_number": "207-907-3300",
"fax_number": "207-907-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIFFER",
"first_name": "CYNTHIA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ME",
"license": "CNP81010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301040099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.