Individual provider Active NPI

Cynthia N Evans, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1609806066
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1023585 Issued in AL
Practice address
415 Martling Rd
Albertville, AL 35951-7209
Phone
(256) 660-5560
Fax
(256) 660-5564
NPI assigned
Jul 3, 2006
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1023585 AL Primary

Addresses

Primary practice location

415 Martling Rd
Albertville, AL 35951-7209

Mailing address

415 Martling Rd
Albertville, AL 35951-7209
Phone (256) 660-5560

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
I20081202000223 AL Practitioner - Nurse Practitioner 2264593813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melvin D Thornbury Jr MD PCGroup PAC ID 8628242344, 3 clinicians

Practice addresses (Care Compare)

415 Martling Rd
Albertville, AL 35951-7209
Phone 2566605560102

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1023585ALMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South CurrentSince Mar 1, 2003 Accepting new patients
Melvin D Thornbury Jr MD PC CurrentSince Apr 1, 2016 Accepting new patients
Gary Alan Calhoun Family Practice LLC Past Accepting new patients

Locations

312 Sand Mountain Dr E
Albertville, AL 35950
Phone (256) 878-1053

415 Martling Rd
Albertville, AL 35951
Phone (256) 660-5560

431 N Carlisle St
Albertville, AL 35950
Phone (256) 251-2566

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1609806066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MARTLING RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517209",
            "telephone_number": "256-660-5560",
            "fax_number": "256-660-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MARTLING RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517209",
            "telephone_number": "256-660-5560",
            "fax_number": "256-660-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CYNTHIA",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1023585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.