Individual provider Active NPI

Cynthia Louise Anderson, ARNP

  • Nurse Practitioner
  • Pullman, WA
National Provider Identifier
1134596455
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1590A Issued in ID
Practice address
2560 NE Hopkins Court
Pullman, WA 99164-5022
Phone
(509) 338-3800
Fax
(509) 339-2702
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60582485 WA
Nurse Practitioner 363L00000X NP-1590A ID Primary

Addresses

Primary practice location

2560 NE Hopkins Court
Pullman, WA 99164-5022

Mailing address

2560 NE Hopkins CT
Pullman, WA 99163-5622
Phone (093) 383-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schweitzer Engineering Laboratories CurrentSince Feb 8, 2023 Accepting new patients
Washington State University PastSince Sep 1, 2019 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

2350 NE Hopkins Ct
Pullman, WA 99163

2560 NE Hopkins Ct
Pullman, WA 99163
Phone (509) 338-3800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDDBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDDBCA/Endpoint/IDDBCA

Organizations & group practices 3

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1134596455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635622",
            "telephone_number": "093-383-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS COURT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991645022",
            "telephone_number": "509-338-3800",
            "fax_number": "509-339-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60582485",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1590A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.