Individual provider Active NPI

Cynthia Faye Poore, MSN, CRNP

  • Women's Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1851696991
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-110965 Issued in AL
Practice address
3686 Grandview Pkwy Ste 320
Birmingham, AL 35243-3404
Phone
(205) 971-5499
NPI assigned
Jan 21, 2011
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 1-110965 AL
Women's Health Nurse Practitioner 363LW0102X 1-110965 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 320
Birmingham, AL 35243-3404

Mailing address

3686 Grandview Pkwy Ste 320
Birmingham, AL 35243-3404
Phone (205) 971-5499

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.poore.2@9954.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120203000581 AL Practitioner - Nurse Practitioner 6608046958 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-110965ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2023 Accepting new patients
Affinity Physician Services LLC CurrentSince Jan 4, 2021 Accepting new patients
North Okaloosa Clinic Corp Past Accepting new patients

Locations

1515 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

3686 Grandview Pkwy
Ste 320
Birmingham, AL 35243
Phone (205) 971-3433

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

Interoperability endpoints

  • Direct secure messaging: cynthiapoore@direct.uabmedicine.org
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1851696991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 320",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433404",
            "telephone_number": "205-971-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 320",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433404",
            "telephone_number": "205-971-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "CYNTHIA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110965",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-110965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.poore.2@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3686 Grandview Pkwy Ste 320",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352433404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.