Individual provider Active NPI

Hermina Cyntje

  • Personal Care Attendant
  • Gibsonton, FL
National Provider Identifier
1760096945
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
L19000234982 Issued in FL
Practice address
13060 Waterbourne Dr
Gibsonton, FL 33534-3908
Phone
(813) 380-6213
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X L19000234982 FL Primary

Addresses

Primary practice location

13060 Waterbourne Dr
Gibsonton, FL 33534-3908

Mailing address

13060 Waterbourne Dr
Gibsonton, FL 33534-3908
Phone (813) 380-6213

Other identifiers 3

IdentifierTypeStateIssuer
L19000234982OtherFLHOME HEALTH CARE
L19000234982OtherFLHOME HEATH CARE
L19000234982OtherHOME CARE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L19000234982FLMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1760096945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13060 WATERBOURNE DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343908",
            "telephone_number": "813-380-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13060 WATERBOURNE DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343908",
            "telephone_number": "813-380-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYNTJE",
        "first_name": "HERMINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "L19000234982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "L19000234982",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEATH CARE",
            "identifier": "L19000234982",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "L19000234982",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.