Individual provider Active NPI

Cynthia A Smith, RN-C, FNP

  • Family Nurse Practitioner
  • Taylor, TX
National Provider Identifier
1689699795
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231944 Issued in TX
Practice address
601A Mallard LN
Taylor, TX 76574-1214
Phone
(512) 352-3200
Fax
(512) 352-4734
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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 231944 TX Primary

Addresses

Primary practice location

601A Mallard LN
Taylor, TX 76574-1214

Mailing address

601A Mallard LN
Taylor, TX 76574-1214
Phone (512) 352-3200

Other names 1

  • Cynthia A Greenway Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110408000188 TX Practitioner - Nurse Practitioner 6406030865 Practice locations: Taylor, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1689699795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601A MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "512-352-3200",
            "fax_number": "512-352-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A MALLARD LN",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741214",
            "telephone_number": "512-352-3200",
            "fax_number": "512-352-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "RN-C, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "231944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "GREENWAY",
            "middle_name": "A",
            "credential": "RN-C, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.