Active NPI
Cynthia (Cindy) Dean Larson, MSN, RN, BC, FNP
- Nurse Practitioner
- Pleasanton, KS
National Provider Identifier
1841238243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 45518
- Practice address
- 900 Main St
Pleasanton, KS 66075-4078 - Phone
- (913) 352-8379
- Fax
- (913) 352-8998
- NPI assigned
- Jun 4, 2006
- Last updated
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 45518 | KS | Primary |
Addresses
Primary practice location
900 Main St
Pleasanton, KS 66075-4078
Mailing address
403 Woodland Hills Blvd
Fort Scott, KS 66701-8798
Phone (620) 223-8040
Other names 1
- Ms. Cindy Dean Selbe
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
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45518 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Past | Accepting new patients | |
| Mercy Kansas Communities, Inc | Nurse Practitioner | Past | Accepting new patients |
| William J. Klontz M.D. Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Clinic Fort Scott
- Family Medicine Physician
- Fort Scott, KS
- NPI 1316048176
Nurse Practitioner
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- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Psychiatry Physician
- Joplin, MO
- NPI 1871568188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1841238243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 WOODLAND HILLS BLVD",
"city": "FORT SCOTT",
"state": "KS",
"postal_code": "667018798",
"telephone_number": "620-223-8040",
"fax_number": "620-223-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST",
"city": "PLEASANTON",
"state": "KS",
"postal_code": "660754078",
"telephone_number": "913-352-8379",
"fax_number": "913-352-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CYNTHIA (CINDY)",
"middle_name": "DEAN",
"name_prefix": "Mrs.",
"credential": "MSN, RN, BC, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "45518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CINDY",
"last_name": "SELBE",
"middle_name": "DEAN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pleasanton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.