Individual provider Active NPI

Cynthia Smith Daffan, CRNP

  • Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1225199367
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001052767 Issued in VA
Practice address
337 Maple Ave E
Vienna, VA 22180-4717
Phone
(703) 328-2188
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0001052767 VA Primary

Addresses

Primary practice location

337 Maple Ave E
Vienna, VA 22180-4717

Mailing address

11543 Gunner CT
Woodbridge, VA 22192-5745
Phone (703) 590-9700

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
0001052767VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Center LTD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1225199367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11543 GUNNER CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925745",
            "telephone_number": "703-590-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MAPLE AVE E",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804717",
            "telephone_number": "703-328-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFAN",
        "first_name": "CYNTHIA",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001052767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.