Individual provider Active NPI

Cynthia Huyck Villacis, MD

  • Family Medicine Physician
  • Florence, KY
National Provider Identifier
1720027675
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35878 Issued in KY
Practice address
75 Cavalier Blvd Ste 211
Florence, KY 41042-3957
Phone
(859) 905-0707
Fax
(859) 203-0853
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35084433 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X 35878 KY
Addiction Medicine (Family Medicine) Physician 207QA0401X 35.084433 OH
Family Medicine Physician 207Q00000X 35878 KY Primary

Addresses

Primary practice location

75 Cavalier Blvd Ste 211
Florence, KY 41042-3957

Mailing address

3001 Magnolia CT
Edgewood, KY 41017-3306
Phone (859) 905-0707

Other identifiers 2

IdentifierTypeStateIssuer
64049679MedicaidKY
2319226MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35084433OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Connections Direct Primary Care, PLLC Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Neighborhood Health Care, Inc. Past Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 Accepting new patients
West End Health Center Inc Past Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine Past Accepting new patients

Locations

527 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 415-0056

71 Cavalier Blvd
Ste 316
Florence, KY 41042

75 Cavalier Blvd
Ste 211
Florence, KY 41042
Phone (859) 905-0707

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1720027675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 MAGNOLIA CT",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173306",
            "telephone_number": "859-905-0707",
            "fax_number": "859-203-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CAVALIER BLVD STE 211",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423957",
            "telephone_number": "859-905-0707",
            "fax_number": "859-203-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACIS",
        "first_name": "CYNTHIA",
        "middle_name": "HUYCK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35084433",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "35878",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.084433",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "35878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64049679",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2319226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; 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.