Individual provider Active NPI

Cynthia R Kawafune, LMP

  • Specialist
  • Arlington, WA
National Provider Identifier
1104064328
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA007766 Issued in WA
Practice address
437 N Olympic Ave Ste C
Arlington, WA 98223-1299
Phone
(360) 403-3075
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA007766 WA Primary

Addresses

Primary practice location

437 N Olympic Ave Ste C
Arlington, WA 98223-1299

Mailing address

437 N Olympic Ave Ste C
Arlington, WA 98223-1299
Phone (360) 403-3075

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

State licenses

LicenseStateTypeSpecialty
MA007766WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Kawafune Specialist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1104064328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N OLYMPIC AVE STE C",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231299",
            "telephone_number": "360-403-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N OLYMPIC AVE STE C",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231299",
            "telephone_number": "360-403-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAFUNE",
        "first_name": "CYNTHIA",
        "middle_name": "R",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA007766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.