Individual provider Active NPI

Cynthia E Williams

  • Family Nurse Practitioner
  • Scarbro, WV
National Provider Identifier
1619356052
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63164 Issued in WV
Practice address
908 Scarbro Road
Scarbro, WV 25917
Phone
(304) 469-2905
Fax
(304) 465-3180
NPI assigned
May 19, 2015
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X WV63164 WV
Family Nurse Practitioner 363LF0000X 63164 WV Primary

Addresses

Primary practice location

908 Scarbro Road
Scarbro, WV 25917

Mailing address

PO Box 337
Scarbro, WV 25917-0337
Phone (304) 469-2905

Other practice location 1

1709 Harper Rd
Beckley, WV 25801-3311
Phone (304) 256-3027

Other identifiers 1

IdentifierTypeStateIssuer
1619356052MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160127001496 WV Practitioner - Nurse Practitioner 3971806878 Reassigns benefits to 4 organizations
I20260327003096 VA Practitioner - Nurse Practitioner 3971806878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

20 Westwood Medical Park
Bluefield, VA 24605-2003
Phone (276) 322-5439

405 Stanaford Rd
Beckley, WV 25801-3143
Phone (304) 252-6317

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV63164WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. Nurse Practitioner CurrentSince Apr 6, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Cherokee Emergency Services, Inc. Nurse Practitioner CurrentSince Mar 27, 2018 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

20 Westwood Medical Park
Bluefield, VA 24605
Phone (276) 322-5439

124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

405 Stanaford Rd
Beckley, WV 25801
Phone (301) 856-1660

1631 Ritter Dr
Daniels, WV 25832
Phone (304) 763-0351

422 23rd St
Oak Hill, WV 25901
Phone (304) 465-1903

107 Miller Dr
Ripley, WV 25271
Phone (304) 372-5115

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: cynthia.williams@wvafn.hcadirect.net

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1619356052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SCARBRO ROAD",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "25917",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Harper Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013311",
            "country_code": "US",
            "telephone_number": "304-256-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CYNTHIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "WV63164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "63164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619356052",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarbro, WV

Sources for this page

Verify at the official NPI Registry.