Individual provider Active NPI

Cynthia A Eblen, APN, FNP-BC

  • Family Nurse Practitioner
  • Paris, TN
National Provider Identifier
1861635781
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000013949 Issued in TN
Practice address
212 Memorial Dr Ste B
Paris, TN 38242-5416
Phone
(731) 641-0605
Fax
(731) 641-4525
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000013949 TN Primary

Addresses

Primary practice location

212 Memorial Dr Ste B
Paris, TN 38242-5416

Mailing address

212 Memorial Dr Ste B
Paris, TN 38242-5416
Phone (731) 641-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090717000590 TN Practitioner - Nurse Practitioner 9537211776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 Memorial Dr
Suite B
Paris, TN 38242-5416
Phone (731) 641-0605

Hospital & facility affiliations

  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000013949TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health & Wellness of Henry County, PLLC Family CurrentSince Jul 8, 2024 Accepting new patients

Locations

212 Memorial Dr
Ste B
Paris, TN 38242
Phone (731) 641-0605

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1861635781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MEMORIAL DR STE B",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425416",
            "telephone_number": "731-641-0605",
            "fax_number": "731-641-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MEMORIAL DR STE B",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425416",
            "telephone_number": "731-641-0605",
            "fax_number": "731-641-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLEN",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.