Cindy Dian Cook, APRN
Individual provider Active NPI Family Nurse Practitioner · Amity, AR
NPI 1619503869 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1619503869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 124336 (AR)
- Practice address
- 210 N Main St
Amity, AR 71921-9733 - Phone
- (870) 342-5606
- Fax
- (870) 342-5802
- NPI assigned
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200407003441 | AR | Practitioner - Nurse Practitioner | 9931538287 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabun Rural Health Services, Inc | Current |
Accepting new patients | |
| Cabun Rural Health Services, Inc. | Current | Accepting new patients | |
| Cabun Rural Health Services, Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 124336 | AR | Yes |
Addresses
Primary practice location
210 N Main St
Amity, AR 71921-9733
Mailing address
PO Box 218
Amity, AR 71921-0218
Phone (870) 342-5606
Other practice location 1
210 N Main St
Amity, AR 71921-9733
Phone (870) 342-5606
Other practice location 2
210 N Main St
Amity, AR 71921-9733
Phone (870) 342-5606
Other providers in Amity, AR
- Cabun Rural Health Services, Inc
- Amber Michelle Cansler
- Centerpoint School
- Centerpoint School District
- Chester Van Clark Jr.
- Dr. Chester V. Clark, Jr. D.D.S., M.P.H., P.C.
- Mikayla Forsythe
- Steve Grider
- Healthstar Physicians of Hot Springs, PLLC
- Casey Christine Howell
All providers in Amity, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.