Individual provider Active NPI

Cynthia Loraine Fadden, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1285227298
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61124589 Issued in WA
Practice address
6222 NE 74TH St Ste 200
Seattle, WA 98115-8158
Phone
(206) 543-2960
Fax
(206) 616-7251
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60284965 WA
Family Nurse Practitioner 363LF0000X AP61124589 WA Primary

Addresses

Primary practice location

6222 NE 74TH St Ste 200
Seattle, WA 98115-8158

Mailing address

9050 15TH Ave NW Apt 2
Seattle, WA 98117-3494
Phone (305) 519-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 2, 2024 through Oct 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60284965WAMDRegistered Nurse
AP61124589WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1285227298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 15TH AVE NW APT 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173494",
            "telephone_number": "305-519-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 NE 74TH ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158158",
            "telephone_number": "206-543-2960",
            "fax_number": "206-616-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADDEN",
        "first_name": "CYNTHIA",
        "middle_name": "LORAINE",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60284965",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61124589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.