Healthcare Provider Details

I. General information

NPI: 1659480762
Provider Name (Legal Business Name): CYNNTHIA HEIMSOTH GNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 VETERANS RD
WARRENSBURG MO
64093-8294
US

IV. Provider business mailing address

103 KATY CIR
SEDALIA MO
65301-6782
US

V. Phone/Fax

Practice location:
  • Phone: 816-861-4700
  • Fax: 660-747-8197
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number102835
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number068159
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: