Active NPI
Cynthia N Taylor, FNP
- Family Nurse Practitioner
- Poplar Bluff, MO
National Provider Identifier
1902843006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 89872
- Practice address
- 2210 Barron Rd
Poplar Bluff, MO 63901-1908 - Phone
- (573) 778-9598
- Fax
- (573) 778-9581
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 89872 | MO | Primary |
Addresses
Primary practice location
2210 Barron Rd
Poplar Bluff, MO 63901-1908
Mailing address
2144 Sunset Dr
Poplar Bluff, MO 63901-2739
Phone (573) 776-6939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428607329 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89872 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ray E Peters D.O. | Past | Accepting new patients | |
| Apogee Medical Group Missouri Inc | Past | Accepting new patients | |
| Poplar Bluff Regional Medical Center LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
-
- Hematology & Oncology Physician
- Poplar Bluff, MO
- NPI 1306925565
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1679514277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1902843006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 SUNSET DR",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012739",
"telephone_number": "573-776-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 BARRON RD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011908",
"telephone_number": "573-778-9598",
"fax_number": "573-778-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CYNTHIA",
"middle_name": "N",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "89872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428607329",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.