Individual provider Active NPI

Cindy L Derscheid, REGISTERED NURSE BSN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Evart, MI
National Provider Identifier
1932838828
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
4704138956 Issued in MI
Practice address
8444 Oak Rd
Evart, MI 49631-8088
Phone
(231) 734-2045
Fax
(231) 734-2282
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 4704138956 MI Primary

Addresses

Primary practice location

8444 Oak Rd
Evart, MI 49631-8088

Mailing address

8444 Oak Rd
Evart, MI 49631-8088
Phone (231) 734-2045

Other names 1

  • Cindy L Derscheid Professional 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
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704138956MIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pineview Homes, Inc. CurrentSince Jun 12, 2022 Accepting new patients

Locations

8444 Oak Rd
Evart, MI 49631
Phone (231) 734-2045

Organizations & group practices 1

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1932838828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 OAK RD",
            "city": "EVART",
            "state": "MI",
            "postal_code": "496318088",
            "telephone_number": "231-734-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8444 OAK RD",
            "city": "EVART",
            "state": "MI",
            "postal_code": "496318088",
            "telephone_number": "231-734-2045",
            "fax_number": "231-734-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERSCHEID",
        "first_name": "CINDY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MI",
            "license": "4704138956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "DERSCHEID",
            "middle_name": "L",
            "credential": "RN, BSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Evart, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.