Active NPI
Cynthia R. Ingels, MSN,N.P.
- Family Nurse Practitioner
- Santa Rosa, CA
National Provider Identifier
1023397155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13663
- Practice address
- 500 Doyle Park Dr
Suite 103
Santa Rosa, CA 95405-4558 - Phone
- (707) 579-1102
- NPI assigned
- Aug 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13663 | CA | Primary |
Addresses
Primary practice location
500 Doyle Park Dr
Suite 103
Santa Rosa, CA 95405-4558
Mailing address
500 Doyle Park Dr
Suite 103
Santa Rosa, CA 95405-4558
Phone (707) 579-1102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312675200000",
"number": "1023397155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DOYLE PARK DR",
"address_2": "SUITE 103",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054558",
"telephone_number": "707-579-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DOYLE PARK DR",
"address_2": "SUITE 103",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054558",
"telephone_number": "707-579-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGELS",
"first_name": "CYNTHIA",
"middle_name": "R.",
"credential": "MSN,N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-07",
"last_updated": "2011-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "13663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.