Active NPI
Cindy Lynn Mytty, RN
- Registered Nurse
- Marquette, MI
National Provider Identifier
1851934574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704218210
- Practice address
- 200 W Spring St
Marquette, MI 49855-4661 - Phone
- (906) 225-1181
- NPI assigned
- Oct 25, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704218210 | MI | Primary |
Addresses
Primary practice location
200 W Spring St
Marquette, MI 49855-4661
Mailing address
200 W Spring St
Marquette, MI 49855-4661
Phone (906) 225-1181
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704218210 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Mental Health | Current | Accepting new patients |
Locations
200 W Spring St
Marquette, MI 49855
Phone (906) 225-1181
Interoperability endpoints
- cindy.mytty@direct.uphie.org
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Marquette, MI
- NPI 1326127416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1851934574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W SPRING ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554661",
"telephone_number": "906-225-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SPRING ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554661",
"telephone_number": "906-225-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYTTY",
"first_name": "CINDY",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704218210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.