Individual provider Active NPI

Cynthia Hennigh, APRN-BC, CFNP

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1679507917
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165371 Issued in VA
Practice address
4500 Pond Way
Suite 170
Woodbridge, VA 22192-5581
Phone
(571) 542-4950
Fax
(571) 285-1160
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024165371 VA Primary

Addresses

Primary practice location

4500 Pond Way
Suite 170
Woodbridge, VA 22192-5581

Mailing address

4500 Pond Way
Suite 170
Woodbridge, VA 22192-5581
Phone (571) 542-4950

Other identifiers 2

IdentifierTypeStateIssuer
1679507917MedicaidVA
010374545MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061202000105 VA Practitioner - Nurse Practitioner 3870592769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Mar 5, 2011 Accepting new patients
Dominion Family Health, PLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Virginia Emergency Medicine Assoicates, LTD PastSince Apr 30, 2023 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

5800 Mapledale Plz
Woodbridge, VA 22193
Phone (703) 670-0067

4500 Pond Way
Ste 170
Woodbridge, VA 22192
Phone (571) 542-4950

Interoperability endpoints

  • Direct secure messaging: chennigh48993@direct.sentara.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 and National Provider Directory roles.

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1679507917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 POND WAY",
            "address_2": "SUITE 170",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925581",
            "telephone_number": "571-542-4950",
            "fax_number": "571-285-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 POND WAY",
            "address_2": "SUITE 170",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925581",
            "telephone_number": "571-542-4950",
            "fax_number": "571-285-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGH",
        "first_name": "CYNTHIA",
        "credential": "APRN-BC, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679507917",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010374545",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.