Active NPI
Cynthia Surer Maggard, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Manchester, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3007930
- Practice address
- 56 Marie Langdon Dr
Manchester, KY 40962-6329 - Phone
- (606) 599-4080
- Fax
- (606) 598-0983
- NPI assigned
- Feb 27, 2013
- Last updated
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3007930 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3007930 | KY | Primary |
Addresses
Primary practice location
56 Marie Langdon Dr
Manchester, KY 40962-6329
Mailing address
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital, Inc.
Practice addresses (Care Compare)
56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007930 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc. | Family | Current | Accepting new patients |
| Memorial Hospital, Inc. | Family | Current | Accepting new patients |
Locations
1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384
Interoperability endpoints
- cmaggard659526@adventhealth.direct-ci.com
Organizations & group practices 2
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.
-
dba AdventHealth Manchester
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1255471827
Family
-
dba Physician Services of Memorial Hospital
- Specialist
- Manchester, KY
- NPI 1831150119
Family
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mary Breckinridge ARH Hospital
- Critical Access Hospital
- Hyden, KY
- NPI 1649554007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1659611622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MARIE LANGDON DR",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626388",
"telephone_number": "606-598-5104",
"fax_number": "606-598-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 MARIE LANGDON DR",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626329",
"telephone_number": "606-599-4080",
"fax_number": "606-598-0983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGARD",
"first_name": "CYNTHIA",
"middle_name": "SURER",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3007930",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3007930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, KY
- Sarah Mackenzie Lawson
- Michael Shawn Ledford, PHARMD
- Rodney Ledford, DMD
- Carla Joan Lewis
- Living Clean LLC
- Magnolia Tree Therapy, LLC
- Manchester Down Home Pharmacy LLC (Manchester Down Home Pharmacy)
- Manchester Family Practice Clinic
- Manchester Family Practice Clinic, Inc.
- Manchester Pharmacist Group LLC (Family Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.