Active NPI
Cindy Lea Varnum, AGACNP-BC
- Nurse Practitioner
- Austin, TX
National Provider Identifier
1144594557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP145263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 77720 | WV | MD | Ostomy 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.