Organization Active NPI

Cindy Ledbetter Psychiatric NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1679128045
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CINDY LEDBETTER PSYCHIATRIC NP LLC
Practice address
2015 Maxwell Ave
Evansville, IN 47711-4359
Phone
(812) 422-7974
Fax
(812) 671-0627
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Cara Bambenek
Title
Office Manager
Phone
(812) 422-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2015 Maxwell Ave
Evansville, IN 47711-4359

Mailing address

2015 Maxwell Ave
Evansville, IN 47711-4359
Phone (812) 422-7974

Other identifiers 1

IdentifierTypeStateIssuer
71004580AOtherININ LIN

Other names 1

  • CINDY L LEDBETTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address faxes+2038119@waitingroomsolutions.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190918003454 IN Part B Supplier - Clinic/Group Practice 0941530836 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1679128045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-671-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-671-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY LEDBETTER PSYCHIATRIC NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BAMBENEK",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-422-7974"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LIN",
            "identifier": "71004580A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "faxes+2038119@waitingroomsolutions.com",
            "affiliation": "N",
            "endpointDescription": "WRS fax",
            "address_1": "2015 Maxwell Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477114359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CINDY L LEDBETTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CINDY L LEDBETTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.