Active NPI
Cynthia Susan Mehrer, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fulton, MO
National Provider Identifier
1922540095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2016037723
- Practice address
- 581 Commons Dr
Fulton, MO 65251-1408 - Phone
- (573) 642-3215
- Fax
- (573) 642-7031
- NPI assigned
- Nov 7, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2016037723 | MO | Primary |
Addresses
Primary practice location
581 Commons Dr
Fulton, MO 65251-1408
Mailing address
340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234
Other practice location 1
340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234
Other practice location 2
205 Portland St
Columbia, MO 65201-6521
Phone (573) 884-6052
Other names 1
- Mrs. Cynthia Susan Jones
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016037723 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1922540095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 KELLEY PKWY",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653811",
"telephone_number": "573-582-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 COMMONS DR",
"city": "FULTON",
"state": "MO",
"postal_code": "652511408",
"telephone_number": "573-642-3215",
"fax_number": "573-642-7031"
}
],
"practiceLocations": [
{
"address_1": "340 Kelley Pkwy",
"address_purpose": "LOCATION",
"city": "Mexico",
"state": "MO",
"postal_code": "652653811",
"country_code": "US",
"telephone_number": "573-582-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Portland St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016521",
"country_code": "US",
"telephone_number": "573-884-6052",
"fax_number": "573-884-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHRER",
"first_name": "CYNTHIA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-07",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2016037723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "JONES",
"middle_name": "SUSAN",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.