Cynthia Edith Andrade, BS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2309 Tulare St Ste 101
Fresno, CA 93721-2287

Phone

(559) 457-3000

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1174044424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S HULBERT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062408",
            "telephone_number": "559-217-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 TULARE ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212287",
            "telephone_number": "559-457-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "CYNTHIA",
        "middle_name": "EDITH",
        "credential": "BS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liz Andrade de la Cerda, M.A., PPS
• Gisel Andrade-Camargo
• Tammy Andrade-de la Isla
• Vanessa Andrade-de la Isla
• Aaron Tyler Andrade
• Jose Juan Andrade
• Kiara Andrade
• Laura Anne Andrade, RN
• Maricruz Andrade
• Marisol Andrade

• Athletic Trainer in Fresno, CA
• Providers in Fresno, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.