Individual provider Active NPI

Cindy Lea Varnum, AGACNP-BC

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1144594557
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP145263 Issued in TX
Practice address
13800 FM 620 N
Austin, TX 78717-1126
Phone
(737) 236-6400
NPI assigned
Mar 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Continence Care Registered Nurse 163WC2100X 77720 WV
Enterostomal Therapy Registered Nurse 163WE0900X 77720 WV
Wound Care Registered Nurse 163WW0000X 77720 WV
Ostomy Care Registered Nurse 163WX1500X 77720 WV
Nurse Practitioner 363L00000X AP145263 TX Primary

Addresses

Primary practice location

13800 FM 620 N
Austin, TX 78717-1126

Mailing address

1619 E Common St Ste 601602
New Braunfels, TX 78130-3452
Phone (806) 712-1096

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
77720WVMDOstomy Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1144594557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 E COMMON ST STE 601602",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303452",
            "telephone_number": "806-712-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 FM 620 N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787171126",
            "telephone_number": "737-236-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNUM",
        "first_name": "CINDY",
        "middle_name": "LEA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "WV",
            "license": "77720",
            "primary": false
        },
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "WV",
            "license": "77720",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WV",
            "license": "77720",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "WV",
            "license": "77720",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.