Organization Active NPI

Cypress Medical Care Services

  • Gerontology Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1851939334
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.