Individual provider Active NPI

Cynthia Lee Wright I, R.N.

  • Psychiatric/Mental Health Registered Nurse
  • Fontana, CA
National Provider Identifier
1356780803
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
422289 Issued in CA
Practice address
17216 Slover Avenue
Building L
Fontana, CA 92337
Phone
(909) 854-3420
Fax
(909) 428-8437
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 422289 CA Primary

Addresses

Primary practice location

17216 Slover Avenue
Building L
Fontana, CA 92337

Mailing address

17216 Slover Avenue
Building L
Fontana, CA 92337
Phone (909) 854-3420

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
422289CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1356780803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17216 SLOVER AVENUE",
            "address_2": "BUILDING L",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92337",
            "telephone_number": "909-854-3420",
            "fax_number": "909-428-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17216 SLOVER AVENUE",
            "address_2": "BUILDING L",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92337",
            "telephone_number": "909-854-3420",
            "fax_number": "909-428-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "422289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.