Cynthia Ann Edelen, PHARMD

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

114669-1 Issued in MN

Practice address

400 4TH St NW
Faribault, MN 55021-5031

Phone

(507) 384-6830

Fax

(651) 431-7757

NPI assigned

Oct 2, 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 names 1

• Cynthia Ann Kern Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Southern Cities Clinic

  • General Practice Physician
  • Faribault, MN
  • NPI 1437218740
  NPD (past)
• Southern Cities Community Clinic

  • Dentist
  • Faribault, MN
  • NPI 1730630393
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1710070743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17793 LAYTON PATH",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445217",
            "telephone_number": "952-892-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 4TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215031",
            "telephone_number": "507-384-6830",
            "fax_number": "651-431-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELEN",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "MN",
            "license": "114669-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KERN",
            "middle_name": "ANN",
            "credential": "PHARM.D., BCPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kris Lee Dutton, LAT, ATC
• Richard Joel Dworsky, SLP CCC MA MM
• Jane Ellen E Whitney
• Jeffrey Charles Eaton, D.C.
• Mackenzie Eckman, MSW, LICSW
• Sarah Edwards, LSW
• Fartun Egal
• Eilrich Family Chiropractic & Wellness
• Robert James Eilrich, DC
• Sophia Louise Ekness

• Psychiatric Pharmacist in Faribault, MN
• Providers in Faribault, MN by specialty
• Psychiatric Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.