Cynthia Gayle Adams, N.P.
Individual provider Active NPI Nurse Practitioner · Rosemary Beach, FL
NPI 1891010047 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1891010047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP02132 (LA)
- Practice address
- 171 Round Rd
#611584
Rosemary Beach, FL 32461-1007 - Phone
- (985) 630-3445
- NPI assigned
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP02132 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Imaging Assoc LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP02132 | LA | Yes |
Addresses
Primary practice location
171 Round Rd
#611584
Rosemary Beach, FL 32461-1007
Mailing address
PO Box 611584
Rosemary Beach, FL 32461-1007
Phone (985) 630-3445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP02132/RN0765868 | Other | LA | LICENSE |
| PA021073 | Other | LA | PA# |
| 363L00000X | Other | LA | TAXONOMY NPI |
| 0215890 | Other | LA | ANCC |
| 1891010047 | Other | LA | NPI |
| ARNP 9361399, 173841 | Other | FL | APRN LICENSE |
| 1686557 | Medicaid | LA | |
| 3B684 | Other | LA | MEDICARE FI/MAC: PINNACLE BUSINESS SOLUTIONS, INC.-LA |
Other providers in Rosemary Beach, FL
All providers in Rosemary Beach, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.