Individual provider Active NPI

Cynthia Lee Titus, A.R.N.P.

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1801003058
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9208266 Issued in FL
Practice address
822 Banyan Dr
Melbourne, FL 32935-6913
Phone
(321) 693-7590
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9208266 FL Primary
Nurse Practitioner 363L00000X RN9208266 FL

Addresses

Primary practice location

822 Banyan Dr
Melbourne, FL 32935-6913

Mailing address

822 Banyan Dr
Melbourne, FL 32935-6913
Phone (321) 693-7590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000599 FL Practitioner - Nurse Practitioner 9638260086 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9208266FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Mar 13, 2024 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Aug 1, 2024 Accepting new patients
Rockledge Hma Convenient Care, LLC Nurse Practitioner Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

5405 Babcock St NE
Palm Bay, FL 32905
Phone (321) 722-0660

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Organizations & group practices 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1801003058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 BANYAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356913",
            "telephone_number": "321-693-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 BANYAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356913",
            "telephone_number": "321-693-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9208266",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9208266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.