Cynthia Ann Mayberry, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

100516 Issued in MO

Practice address

705 E Laharpe St Ste D
Kirksville, MO 63501-4526

Phone

(660) 665-3545

Fax

(660) 665-3226

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1700818283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E LAHARPE ST STE D",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014526",
            "telephone_number": "660-665-3545",
            "fax_number": "660-665-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E LAHARPE ST STE D",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014526",
            "telephone_number": "660-665-3545",
            "fax_number": "660-665-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "100516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "182570",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM",
            "identifier": "633829",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429173503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather R Martin, D.O.
• Chelsea Mastagni
• Ian Daniel Matlack
• Jacob Thomas Matschiner, DMD
• Ryan Mauro, DO
• Robin Mayer
• Diane Renae Mayes, DPT
• Cathy A McCabe, LPN
• Brittany McCall
• Meredith McCannon, MA, PLPC

• Psychiatric/Mental Health Nurse Practitioner in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.