Individual provider Active NPI

Cynthia Diane Durham, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1902475635
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216224 Issued in AR
Practice address
1701 S Shackleford Rd
Little Rock, AR 72211-4335
Phone
(501) 219-7000
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 216224 AR Primary

Addresses

Primary practice location

1701 S Shackleford Rd
Little Rock, AR 72211-4335

Mailing address

116 Fair Oaks PL
Hot Springs, AR 71901-7705
Phone (903) 490-6085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210729003181 AR Practitioner - Nurse Practitioner 2668875550 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216224ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce K Burton MD PA Current Accepting new patients
Direct MD, LLC CurrentSince May 8, 2023 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Jun 14, 2021 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jun 14, 2021 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jun 14, 2021 Accepting new patients
Arkansas Family Medicine PA CurrentSince Jul 30, 2024 Accepting new patients

Locations

15400 Chenal Pkwy
Ste 130
Little Rock, AR 72211
Phone (501) 725-7919

1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

2223 Grant St
Malvern, AR 72104
Phone (501) 337-9031

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17584/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1902475635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FAIR OAKS PL",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017705",
            "telephone_number": "903-490-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114335",
            "telephone_number": "501-219-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.