Individual provider Active NPI

Cynthia Elizabeth Arceneaux, FNP

  • Family Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1861989949
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136496 Issued in TX
Practice address
2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone
(409) 983-1161
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 AP136496 TX Primary

Addresses

Primary practice location

2548 Memorial Blvd
Port Arthur, TX 77640-2825

Mailing address

2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone (409) 983-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180723002331 TX Practitioner - Nurse Practitioner 0547517567 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136496TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health Center Inc CurrentSince Jul 17, 2018 Accepting new patients
Standard Medical Clinic, PA Family CurrentSince Jun 22, 2018 Accepting new patients
Gulf Coast Health Center, Inc CurrentSince Jul 17, 2018 Accepting new patients
Gulf Coast Health Center Inc Past Accepting new patients

Locations

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

3712 Gulfway Dr
Port Arthur, TX 77642
Phone (409) 332-4300

601B W Rev Dr Ransom Howard St
Port Arthur, TX 77640

8333 9th Ave
Ste A
Port Arthur, TX 77642
Phone (409) 272-2808

Organizations & group practices 4

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1861989949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCENEAUX",
        "first_name": "CYNTHIA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.