Cynthia K Desmond, ARNP

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AP30004043 Issued in WA

Practice address

11216 Sunrise Blvd E
# 3-106
Puyallup, WA 98374-8848

Phone

(253) 848-5951

Fax

(253) 845-7073

NPI assigned

Oct 24, 2005

Last updated

Feb 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• South Hill Family Medicine PC

  dba Sound Family Medicine

  • Family Medicine Physician
  • Puyallup, WA
  • NPI 1538253331
  Medicare reassignment NPD
• Cascade Eye & Skin Centers PC

  • Ophthalmology Physician
  • Auburn, WA
  • NPI 1427293109
  NPD (past)
• Columbia Capital Medical Center LP

  dba Capital Medical Center

  • Hospitalist Physician
  • Olympia, WA
  • NPI 1962625582
  NPD (past)
• Cynthia L Desmond MSN Arnp Inc PS

  dba Pacific Northwest Primary Care

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1801080221
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1245220003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 10TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742188",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 SUNRISE BLVD E",
            "address_2": "# 3-106",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748848",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "AP30004043",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9621913",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "G8920735",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Elise Dennis, LPN
• Pamela Denny
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Longston Place Dental)
• Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC (Dental Care of South Puyallup)
• Elizabeth Nicole Deonigi, AGNP
• Deanna Dessau, MSW
• Tracy Lynn Detty
• Lisa Devaney, RN
• Victoria Devere, DO
• Dominique Devine, LMT

• Physician Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.