1790811487 NPI number — MS. CYNTHIA NEY LEIPOLD FNPC, FNP-BC, ACHPN

Table of content: MS. CYNTHIA NEY LEIPOLD FNPC, FNP-BC, ACHPN (NPI 1790811487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790811487 NPI number — MS. CYNTHIA NEY LEIPOLD FNPC, FNP-BC, ACHPN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEIPOLD
Provider First Name:
CYNTHIA
Provider Middle Name:
NEY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNPC, FNP-BC, ACHPN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NEY
Provider Other First Name:
CYNTHIA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1790811487
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3495 PIEDMONT ROAD, NE
Provider Second Line Business Mailing Address:
NINE PIEDMONT CENTER
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30305
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-364-7070
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2525 CUMBERLAND PARKWAY
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE CUMBERLAND MEDICAL CENTER
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-367-2528
Provider Business Practice Location Address Fax Number:
404-603-1314
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  RN076013 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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