Active NPI
Cynthia Jill Landon
- Registered Nurse
- Calvert City, KY
National Provider Identifier
1649790882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1071077
- Practice address
- 3110 Hwy 95
Calvert City, KY 42029 - Phone
- (270) 395-7108
- NPI assigned
- Jun 20, 2017
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1071077 | KY | Primary |
Addresses
Primary practice location
3110 Hwy 95
Calvert City, KY 42029
Mailing address
267 Slickback Road
Benton, KY 42025
Phone (270) 527-1496
Other practice location 1
267 Slickack Rd
Benton, KY 42025
Phone (270) 395-7108
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071077 | KY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649790882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 SLICKBACK ROAD",
"city": "BENTON",
"state": "KY",
"postal_code": "42025",
"telephone_number": "270-527-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 HWY 95",
"city": "CALVERT CITY",
"state": "KY",
"postal_code": "42029",
"telephone_number": "270-395-7108"
}
],
"practiceLocations": [
{
"address_1": "267 Slickack Rd",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "KY",
"postal_code": "42025",
"country_code": "US",
"telephone_number": "270-395-7108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDON",
"first_name": "CYNTHIA",
"middle_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1071077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calvert City, KY
- Andrea Norenne Jennings, LMT
- Jessica Francescon
- Ashley Flanary Jessup, MD
- John P Lyles Optometrist
- Susan Leah Landis
- Ben Leonard
- Lori Ann Lipinski, DNP; ARNP-BC
- LP Calvert City, LLC (Oakview Nursing & Rehabilitation Center)
- Marshall County Health Department (Marshall County Health Department Calvert City Clinic)
- Leeann Mills
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.