CYNTHIA DENISE HUMENIC (NPI# 1881181584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881181584 |
| Entity Type | Individual |
| Full Name | CYNTHIA DENISE HUMENIC |
| Credential | NP |
| Practice Address |
3650 Steve Reynolds Blvd Duluth GA 30096-4506 |
| Mailing Address |
724 Beacon Cv Lawrenceville GA 30043-7667 |
| Practice Telephone | 8006611811 |
| Mailing Telephone | 6782057817 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN206611 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE OF GA NURSE PRACTICIONER LICENSE # RN206611 | RN206611 | 01 |
| Street Address |
3650 STEVE REYNOLDS BLVD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194893 | Barbara Joan Kell | Nurse Practitioner | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2005-06-16 |
| 1750906715 | Grace Elizabeth Mason | Nurse Practitioner | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2020-06-15 |
| 1194230540 | Jenna Dannenbaum | Nurse Practitioner | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2017-12-07 |
| 1568994135 | Yolanda Gray-rozier | Registered Nurse | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2017-04-01 |
| 1306394655 | Carlie Lynne Adams | Dietitian, Registered | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2016-09-15 |
| 1114379757 | Miriam Abouelnasr Gomes | Physician Assistant | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2016-07-07 |
| 1699158584 | Ann Whitaker | Dietitian, Registered | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2015-07-09 |
| 1548643968 | Paula Gilman | Dietitian, Registered | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2015-07-02 |
| 1750763173 | Emily Kim | Internal Medicine | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2015-06-22 |
| 1457740664 | Alexander J Shupp | Physician Assistant | 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Comprehensive Medical Center, Duluth, GA 30096 | 2015-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1588159388 | Marilyne Jones | Nurse Practitioner | 3920 Club Dr Apt 724, Duluth, GA 30096-7101 | 2018-06-25 |
| 1225534977 | Philip Douglas Knese | Nurse Practitioner | 1012 E 2nd St Bldg A, Duluth, MN 55805-2200 | 2018-04-02 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1477964559 | Vincentia Asantewah Adjei | Nurse Practitioner | 6340 Sugarloaf Pkwy Ste 200, Duluth, GA 30097-4329 | 2014-05-12 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1992864821 | The College of St. Scholastica | Nurse Practitioner | Css 1200 Kenwood Avenue, Student Health Service, Duluth, MN 55811 | 2006-12-06 |
| 1508979253 | New Day Health | Nurse Practitioner | 1180 88th Ave. West, Suite 2, Duluth, MN 55808 | 2006-08-16 |
| 1770558751 | Thelma Berry Cummings | Nurse Practitioner | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30086 | 2006-02-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.