Active NPI
Cynthia C Tench, RN BC FNP
- Nurse Practitioner
- St Louis, MO
National Provider Identifier
1992733703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 083709
- Practice address
- 3023 N Ballas Road
Professional Office Building D Suite 500
St Louis, MO 63131 - Phone
- (314) 567-4541
- Fax
- (314) 569-3647
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 083709 | MO | Primary |
Addresses
Primary practice location
3023 N Ballas Road
Professional Office Building D Suite 500
St Louis, MO 63131
Mailing address
3023 N Ballas Road
Professional Office Building D Suite 500
St Louis, MO 63131
Phone (314) 567-4541
Other names 1
- Mrs. Cynthia Catherine Brock
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, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clayton Primary Care Group, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1154571776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1992733703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 N BALLAS ROAD",
"address_2": "PROFESSIONAL OFFICE BUILDING D SUITE 500",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-567-4541",
"fax_number": "314-569-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 N BALLAS ROAD",
"address_2": "PROFESSIONAL OFFICE BUILDING D SUITE 500",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-567-4541",
"fax_number": "314-569-3647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENCH",
"first_name": "CYNTHIA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RN BC FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "083709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "BROCK",
"middle_name": "CATHERINE",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.