Individual provider Active NPI

Cynthia Caddell

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1205264538
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-055607 Issued in AL
Practice address
1940 Elmer J Bissell Rd
Birmingham, AL 35243-2941
Phone
(205) 638-4764
Fax
(205) 638-4765
NPI assigned
Oct 23, 2013
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-055607 AL Primary

Addresses

Primary practice location

1940 Elmer J Bissell Rd
Birmingham, AL 35243-2941

Mailing address

1940 Elmer J Bissell Rd
Birmingham, AL 35243-2941
Phone (205) 638-4764

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-055607ALMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1205264538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ELMER J BISSELL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432941",
            "telephone_number": "205-638-4764",
            "fax_number": "205-638-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ELMER J BISSELL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432941",
            "telephone_number": "205-638-4764",
            "fax_number": "205-638-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADDELL",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-055607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.