Active NPI
Cypress Medical Care Services
- Gerontology Nurse Practitioner
- Marianna, FL
National Provider Identifier
1851939334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- CYPRESS MEDICAL CARE SERVICES
- Practice address
- 4294 3Rd Ave
Marianna, FL 32446-2137 - Phone
- (850) 526-3191
- NPI assigned
- Dec 16, 2019
- Last updated
- Dec 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita Faye Thompson, ARNP
- Title
- Member Manager
- Phone
- (850) 247-0555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
4294 3Rd Ave
Marianna, FL 32446-2137
Mailing address
154 Gladstone Rd
Wewahitchka, FL 32465-5206
Phone (850) 247-0555
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1851939334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 GLADSTONE RD",
"city": "WEWAHITCHKA",
"state": "FL",
"postal_code": "324655206",
"telephone_number": "850-247-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4294 3RD AVE",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462137",
"telephone_number": "850-526-3191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYPRESS MEDICAL CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "RITA",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "850-247-0555",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.