CYNTHIA R CAINE FNP NPI 1215936315

NPI Information

NPI: 1215936315
Provider Name: CYNTHIA R CAINE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
11200 W LINCOLN HWY
MOKENA, IL
ZIP 60448
Phone: (708) 873-0062
Get Directions

Cynthia R Caine, FNP is a family nurse practitioner in Mokena, IL. Cynthia R Caine, FNP NPI is 1215936315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11200 W LINCOLN HWY
MOKENA, IL
ZIP 60448-208
Phone: (708) 873-0062
Fax: (708) 873-1820

The enumeration date for this NPI number is 7/20/2005 and was last updated on 1/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71000102A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	209006990	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	659650F	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
2	P00058964	OTHER	INDIANA	TRAVELERS MCR PROVIDER #
3	200062090	MEDICAID	INDIANA
4	R00585	MEDICARE PIN	ILLINOIS
5	S84985	MEDICARE UPIN	INDIANA
6	R00584	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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