MRS. CYNTHIA RENEE' CHADWELL (NPI# 1982748265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982748265 |
Entity Type | Individual |
Full Name | MRS. CYNTHIA RENEE' CHADWELL |
Other Name | CYNTHIA RENEE' DAVENPORT |
Credential | MSN, APRN |
Practice Address |
110 Metker Trl Stanford KY 40484-1020 |
Mailing Address |
458 Dairy Ln Mount Vernon KY 40456-8533 |
Practice Telephone | 6063653360 |
Practice Fax Number | 6063659378 |
Mailing Telephone | 6067580139 |
Mailing Fax Number | 6067580141 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2017-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 91404 | TN | Nursing Service Providers |
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
1112722 | KY | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | 11952 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3005157 | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | APN | 11952 | 01 |
KY | LICENSE | 3005157 | 01 |
KY | MEDICARE PTAN | P400040902 | 01 |
KY | 7100006230 | 05 |
Street Address |
110 METKER TRL |
City | STANFORD |
State | KY |
Zip Code | 40484-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427026178 | Judith A Anderson Sherman | Family Medicine | 110 Metker Trl, Stanford, KY 40484-1020 | 2006-03-09 |
1205328895 | Emhfl, Inc. | Family Medicine | 110 Metker Trl, Stanford, KY 40484-1020 | 2018-05-31 |
1285011247 | Jennifer Merrick | Nurse Practitioner | 110 Metker Trl, Stanford, KY 40484-1020 | 2015-04-29 |
1801207824 | Alana Leavell | Nurse Practitioner | 110 Metker Trl, Stanford, KY 40484-1020 | 2014-05-13 |
1639500051 | Lauren Pingleton | Nurse Practitioner | 110 Metker Trl, Stanford, KY 40484-1020 | 2013-12-11 |
1093040032 | Ephraim Mcdowell Regional Medical Center Incorporated | Durable Medical Equipment & Medical Supplies | 110 Metker Trl, Stanford, KY 40484-1020 | 2009-10-08 |
1356481121 | Audrey Ann Narducci | Surgery | 110 Metker Trl, Stanford, KY 40484-1020 | 2007-02-08 |
1932254265 | Emhfl, Inc. | General Acute Care Hospital | 110 Metker Trl, Stanford, KY 40484-1020 | 2007-01-25 |
1386799757 | Ephraim Mcdowell Health Resource, Inc. | Family Medicine | 110 Metker Trl, Stanford, KY 40484-1065 | 2007-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306208335 | Carol Ann Trapp | Case Manager/Care Coordinator | 333 Frontier Blvd., Stanford, KY 40484 | 2016-03-29 |
1285096123 | Stanford Eye Center Psc | Optometrist | 101 Us Hwy 150 Bypass, Suite 117, Stanford, KY 40484 | 2016-03-21 |
1679712434 | Laura Smith | Occupational Therapist | 1538 Teytonwell Rd, Stanford, KY 40484 | 2009-02-18 |
1104015593 | Precision Chiropractic Center, Psc | Chiropractor | 109 Lily Dr., Stanford, KY 40484 | 2007-10-22 |
1114121159 | Emhfl, Inc. | Optometrist | 110 Metker Trail, Stanford, KY 40484 | 2007-06-13 |
1841417490 | Shelley Lynn Alford I | Speech-Language Pathologist | 228 Grist Mill Rd., Stanford, KY 40484 | 2007-04-18 |
1043332091 | Lincoln County Health Department | Clinic/Center | 342 Education Way, Stanford, KY 40484 | 2007-04-03 |
1316963036 | Theresa L Kelsey | Physical Therapist | 123 Frontier Blvd Ste 106, Stanford, KY 40484 | 2006-07-14 |
1366485989 | New Vista of The Bluegrass Inc | Clinic/Center | 322 Frontier Boulevard, Stanford, KY 40484 | 2006-06-13 |
1811164429 | Fort Logan Hospital | Clinical Medical Laboratory | 110 Metker Trail, Stanford, KY 40484 | 2008-05-13 |
Find all providers in zip 40484 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568075596 | Catiussi Hoffmann | Nurse Practitioner | 300 Pasteur Dr Fl 2, Stanford, CA 94305-2200 | 2020-08-28 |
1548882392 | Loly Silalahi | Nurse Practitioner | 300 Pasteur Dr Rm A201c, Stanford, CA 94305-2200 | 2020-05-15 |
1346727112 | Jesslyn Brianne Kelsey | Nurse Practitioner | 380 Turkeyfoot Ln, Stanford, KY 40484-7536 | 2018-07-25 |
1841700689 | Your Care Mobile Health Psc | Nurse Practitioner | 6387 Us Highway 150 E, Stanford, KY 40484-9748 | 2017-10-06 |
1124311618 | Elizabeth Lee | Nurse Practitioner | 300 Pasteur Dr # R205, Department of Neurosurgery, Stanford, CA 94305-2200 | 2011-05-17 |
1851618813 | Kimberly Caswell | Nurse Practitioner | 300 Pasteur Dr Rm G313, Mc 5208, Stanford, CA 94305-2200 | 2010-04-29 |
1750512885 | Nanette Malgesini | Nurse Practitioner | 900 Blake Wilbur Drive, M/c 5358, Stanford, CA 94304-2201 | 2009-08-06 |
1396921979 | Sharon M Naylor | Nurse Practitioner | 3115 Ky Highway 698, Stanford, KY 40484-9441 | 2008-01-14 |
1629116660 | Julie Ann Richards | Nurse Practitioner | 866 Campus Drive, Vaden Health Center- Stanford University, Stanford, CA 94305-8580 | 2007-02-02 |
1376694919 | Yunchuan Wang | Nurse Practitioner | 801 Welch Rd., Stanford, CA 94035 | 2007-01-12 |
Find all providers in STANFORD |
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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.