Active NPI
Cynthia M Grindle, APRN
- Family Nurse Practitioner
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 002750
- Practice address
- 71 Haynes St
Manchester, CT 06040-4131 - Phone
- (860) 533-6595
- Fax
- (860) 533-6594
- NPI assigned
- Jan 9, 2006
- Last updated
- May 2, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18495 | SC | |
| Family Nurse Practitioner | 363LF0000X | 192059 | MA | |
| Family Nurse Practitioner | 363LF0000X | 002750 | CT | Primary |
Addresses
Primary practice location
71 Haynes St
Manchester, CT 06040-4131
Mailing address
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 533-6595
Other practice location 1
3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Phone (803) 434-8866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609855162 | Medicaid | CT | |
| 004247806 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002750 | CT | MD | Clinical Child & Adolescent Psychologist |
| 18495 | SC | MD | Social Worker |
| 2750 | CT | MD | Registered Dietitian |
| 192059 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Urgent Care Centers, LLC | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Current | Accepting new patients | |
| Sound Physicians of Massachusetts II PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Connecticut, LLC | Current | Accepting new patients | |
| Doctordoctors LLC | Past | Accepting new patients | |
| Antero Urgent Care LLC | Past | Accepting new patients | |
| Johnson Professional Associates, PC | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1558696153
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Urgent Care Clinic/Center
- Ashford, CT
- NPI 1730790858
-
- Hospitalist Physician
- Stafford Springs, CT
- NPI 1770564262
-
- Family Medicine Physician
- East Longmeadow, MA
- NPI 1447525415
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1982682092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-533-6595",
"fax_number": "860-533-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-533-6595",
"fax_number": "860-533-6594"
}
],
"practiceLocations": [
{
"address_1": "3 Richland Medical Park Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036850",
"country_code": "US",
"telephone_number": "803-434-8866",
"fax_number": "803-933-3049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRINDLE",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18495",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "192059",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "002750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609855162",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004247806",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.