Active NPI
Cynthia Mary Bologna, APRN
- Nurse Practitioner
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9273226
- Practice address
- 601 E Altamonte Dr Ste 100
Altamonte Springs, FL 32701-4802 - Phone
- (407) 303-5600
- Fax
- (317) 705-5047
- NPI assigned
- May 13, 2014
- Last updated
- Oct 24, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9273226 | FL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | APRN9273226 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN9273226 | FL |
Addresses
Primary practice location
601 E Altamonte Dr Ste 100
Altamonte Springs, FL 32701-4802
Mailing address
PO Box 102222
Attn: Credentialing Dept.
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111345600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9273226 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Radiology Imaging at Lake Mary, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients |
Locations
601 E Altamonte Dr
Ste 100
Altamonte Springs, FL 32701
1340 N Hancock Rd
Clermont, FL 34711
Phone (352) 394-1150
1920 Don Wickham Dr
Ste 305
Clermont, FL 34711
Phone (352) 394-1150
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group Radiology
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
dba AdventHealth Imaging
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
-
dba AdventHealth Imaging
- Body Imaging Physician
- Apopka, FL
- NPI 1033744925
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1699186650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"address_2": "ATTN: CREDENTIALING DEPT.",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ALTAMONTE DR STE 100",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014802",
"telephone_number": "407-303-5600",
"fax_number": "317-705-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLOGNA",
"first_name": "CYNTHIA",
"middle_name": "MARY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9273226",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9273226",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9273226",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111345600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.