Individual provider Active NPI

Cynthia Lou Ford, RN

  • Registered Nurse
  • Park Hills, MO
National Provider Identifier
1902268485
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
112508 Issued in MO
Practice address
1015 N Saint Joe Dr
Apt 18
Park Hills, MO 63601-1943
Phone
(573) 705-2547
NPI assigned
Mar 24, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 112508 MO Primary

Addresses

Primary practice location

1015 N Saint Joe Dr
Apt 18
Park Hills, MO 63601-1943

Mailing address

1015 N Saint Joe Dr
Apt 18
Park Hills, MO 63601-1943
Phone (573) 705-2547

Other names 1

  • Mrs. Cynthia Lou Schultz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
112508MOMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1902268485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N SAINT JOE DR",
            "address_2": "APT 18",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636011943",
            "telephone_number": "573-705-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N SAINT JOE DR",
            "address_2": "APT 18",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636011943",
            "telephone_number": "573-705-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CYNTHIA",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "112508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "SCHULTZ",
            "middle_name": "LOU",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Hills, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.