=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528933413
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CINTHYA C ORTIZ MORALES FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2025
-----------------------------------------------------
Last Update Date | 10/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1609 JONES ST
-----------------------------------------------------
City | SPRINGFIELD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37172-3718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-752-8843
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1980 TOM AUSTIN HWY
-----------------------------------------------------
City | GREENBRIER
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37073-4111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-752-8843
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 39836
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------