Individual provider Active NPI

Cyrin M Natividad, CRNP

  • Gerontology Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1194652461
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP033478 Issued in PA
Practice address
2005 Technology Pkwy Ste 400
Mechanicsburg, PA 17050-9413
Phone
(717) 791-2520
Fax
(717) 703-0061
NPI assigned
May 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP033478 PA
Gerontology Nurse Practitioner 363LG0600X SP033478 PA Primary
Acute Care Nurse Practitioner 363LA2100X SP033478 PA
Adult Health Nurse Practitioner 363LA2200X SP033478 PA

Addresses

Primary practice location

2005 Technology Pkwy Ste 400
Mechanicsburg, PA 17050-9413

Mailing address

2005 Technology Pkwy Ste 400
Mechanicsburg, PA 17050-9413
Phone (717) 791-2520

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2005 Technology Pkwy
Suite 400
Mechanicsburg, PA 17050-9413

409 S 2ND St
Harrisburg, PA 17104-1612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP033478PAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1194652461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 400",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509413",
            "telephone_number": "717-791-2520",
            "fax_number": "717-703-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 400",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509413",
            "telephone_number": "717-791-2520",
            "fax_number": "717-703-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVIDAD",
        "first_name": "CYRIN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP033478",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP033478",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP033478",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP033478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.