Individual provider Active NPI

Heidi Huddleston Cross, RN, FNP, CWOCN

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1801919188
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335296 Issued in NY
Practice address
4900 Broad Rd
Suite 2B
Syracuse, NY 13215-2265
Phone
(315) 492-5763
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335296 NY Primary

Addresses

Primary practice location

4900 Broad Rd
Suite 2B
Syracuse, NY 13215-2265

Mailing address

2072 W Lake Rd
Skaneateles, NY 13152-9612
Phone (315) 685-6364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F335296NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Camillus Residential Health Care Facility CurrentSince Dec 30, 2017 Accepting new patients
St. Camillus Residential Health Care Facility CurrentSince Dec 30, 2017 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Jul 1, 2014 Accepting new patients
Suny Health Science Center at Syracuse Family CurrentSince Jul 1, 2014 Accepting new patients
University Surgical Associates, LLP PastSince Mar 1, 2020 Accepting new patients

Locations

813 Fay Rd
Syracuse, NY 13219
Phone (315) 464-5820

4900 Broad Rd
Ste 2B
Syracuse, NY 13215
Phone (315) 492-5036

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1801919188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 W LAKE RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529612",
            "telephone_number": "315-685-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "address_2": "SUITE 2B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "HEIDI",
        "middle_name": "HUDDLESTON",
        "name_prefix": "Ms.",
        "credential": "RN, FNP, CWOCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.