Active NPI
Cynthia Kratochvil, RN
- Registered Nurse
- Olympia, WA
National Provider Identifier
1104701754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00114638
- Practice address
- 3436 Mary Elder Rd NE
Olympia, WA 98506-5050 - Phone
- (360) 528-2590
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00114638 | WA | Primary |
Addresses
Primary practice location
3436 Mary Elder Rd NE
Olympia, WA 98506-5050
Mailing address
203 Balmer St SW
Orting, WA 98360-7497
Phone (253) 905-2038
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00114638 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1104701754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 BALMER ST SW",
"city": "ORTING",
"state": "WA",
"postal_code": "983607497",
"telephone_number": "253-905-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 MARY ELDER RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065050",
"telephone_number": "360-528-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATOCHVIL",
"first_name": "CYNTHIA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00114638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.