Individual provider Active NPI

Cynthia Tortorella, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1023589512
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219722 Issued in AZ
Practice address
2929 N 44TH St Ste 130
Phoenix, AZ 85018-7239
Phone
(602) 820-8964
NPI assigned
Dec 10, 2018
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219722 AZ Primary

Addresses

Primary practice location

2929 N 44TH St Ste 130
Phoenix, AZ 85018-7239

Mailing address

2929 N 44TH St Ste 130
Phoenix, AZ 85018-7239
Phone (602) 820-8964

Other names 1

  • Cynthia Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923002453 AZ Practitioner - Nurse Practitioner 8325207343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peaks Primary Care, LLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

919 12th Pl
Ste 5
Prescott, AZ 86305
Phone (602) 535-0610

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1023589512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N 44TH ST STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187239",
            "telephone_number": "602-820-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N 44TH ST STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187239",
            "telephone_number": "602-820-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORTORELLA",
        "first_name": "CYNTHIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "219722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.