Organization Active NPI

Cynthia Fussell NP, LLC

  • Primary Care Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1720742935
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CYNTHIA FUSSELL NP, LLC
Practice address
19153 Country Club LN
Hammond, LA 70401-3426
Phone
(985) 507-2020
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Cynthia C Fussell, NPNPI 1194916163
Title
Owner
Phone
(985) 507-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

19153 Country Club LN
Hammond, LA 70401-3426

Mailing address

19153 Country Club LN
Hammond, LA 70401-3426
Phone (985) 507-2020

Other practice location 1

14500 Hayne Blvd Ste 200
New Orleans, LA 70128-1751
Phone (504) 210-0460

Other practice location 2

64026 Highway 434 Ste 300
LaCombe, LA 70445-5417
Phone (985) 882-0226

Other practice location 3

23455 Sparrow Rd
Mandeville, LA 70448
Phone (985) 626-6300

Other practice location 4

9938 Airline Hwy
Baton Rouge, LA 70816-8100
Phone (225) 663-2881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220721000911 LA Part B Supplier - Clinic/Group Practice 8729469846 Receives reassigned benefits from 3 practitioners
Practice locations: Kentwood, LA; Hammond, LA; Amite, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1720742935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19153 COUNTRY CLUB LN",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013426",
            "telephone_number": "985-507-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19153 COUNTRY CLUB LN",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013426",
            "telephone_number": "985-507-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14500 Hayne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701281751",
            "country_code": "US",
            "telephone_number": "504-210-0460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64026 Highway 434 Ste 300",
            "address_purpose": "LOCATION",
            "city": "LaCombe",
            "state": "LA",
            "postal_code": "704455417",
            "country_code": "US",
            "telephone_number": "985-882-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23455 Sparrow Rd",
            "address_purpose": "LOCATION",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "country_code": "US",
            "telephone_number": "985-626-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9938 Airline Hwy",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708168100",
            "country_code": "US",
            "telephone_number": "225-663-2881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CYNTHIA FUSSELL NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "FUSSELL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-507-2020",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.