NPIMap

Individual provider Active NPI

Cynitra Tinika Anderson

  • Student in an Organized Health Care Education/Training Program
  • Rochester Hills, MI
National Provider Identifier
1851930440
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
623 Dorchester Dr Apt 126
Rochester Hills, MI 48307-4028
Phone
(248) 565-7370
Fax
(248) 817-8878
NPI assigned
Dec 30, 2019
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI Primary

Addresses

Primary practice location

623 Dorchester Dr Apt 126
Rochester Hills, MI 48307-4028

Mailing address

623 Dorchester Dr Apt 126
Rochester Hills, MI 48307-4028
Phone (248) 565-7370

Other identifiers 1

IdentifierTypeStateIssuer
800315464OtherMICHAMPS

Other names 1

  • Ms. Cynitra Tinika Moses Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gaily-vwcp.org Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cynitra Information Systems LLC Current Accepting new patients

Organizations & group practices 1

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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1851930440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 DORCHESTER DR APT 126",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074028",
            "telephone_number": "248-565-7370",
            "fax_number": "248-817-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 DORCHESTER DR APT 126",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074028",
            "telephone_number": "248-565-7370",
            "fax_number": "248-817-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CYNITRA",
        "middle_name": "TINIKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPS",
            "identifier": "800315464",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gaily-vwcp.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Hills",
            "address_1": "623 Dorchester Dr Apt 126",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483074028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CYNITRA",
            "last_name": "MOSES",
            "middle_name": "TINIKA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.