Individual provider Active NPI

Cynthia Mutsumi Nagao

  • Case Manager/Care Coordinator
  • Eugene, OR
National Provider Identifier
1063237980
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
425 Lincoln St
Eugene, OR 97401-2516
Phone
(541) 300-9227
NPI assigned
Nov 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OR Primary

Addresses

Primary practice location

425 Lincoln St
Eugene, OR 97401-2516

Mailing address

580 Flamingo Ave
Springfield, OR 97477-7511
Phone (808) 652-2623

Other practice location 1

425 Lincoln St
Eugene, OR 97401-2516
Phone (541) 300-9227

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

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1063237980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 FLAMINGO AVE",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777511",
            "telephone_number": "808-652-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LINCOLN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012516",
            "telephone_number": "541-300-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012516",
            "country_code": "US",
            "telephone_number": "541-300-9227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGAO",
        "first_name": "CYNTHIA",
        "middle_name": "MUTSUMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.