Individual provider Active NPI

Cynthia A Warner, M.D.

  • Cardiovascular Disease Physician
  • Everett, WA
National Provider Identifier
1396906129
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00049221 Issued in WA
Practice address
1330 Rockefeller Ave Ste 310
Everett, WA 98201
Phone
(425) 316-5490
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00049221 WA Primary

Addresses

Primary practice location

1330 Rockefeller Ave Ste 310
Everett, WA 98201

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (866) 747-2455

Other practice location 1

12333 NE 130th Ln
Suite 320
Kirkland, WA 98034-7467
Phone (425) 899-0555

Other practice location 2

1330 Rockefeller Ave Ste 310
Everett, WA 98201
Phone (425) 316-5490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwarner1007339@wm.providencedirect.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000369 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638242852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11603 State Ave
Suite G
Marysville, WA 98271-8465
Phone (360) 658-6800

12800 Bothell Everett Hwy
Everett, WA 98208-6642

12800 Bothell Everett Hwy
Everett, WA 98208-6644

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

1330 Rockefeller Ave
Everett, WA 98201-1676

17432 State Route 9 SE
Suite 201
Snohomish, WA 98296-8451
Phone (425) 404-7800

19200 N Kelsey St
Monroe, WA 98272-1431
Phone (360) 794-7994

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Wa Cardiovascular Disease CurrentSince Feb 1, 2019 Accepting new patients
Providence Health & Services- Washington CurrentSince Feb 1, 2019 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

12800 Bothell Everett Hwy
Ste 270
Everett, WA 98208
Phone (425) 316-5100

1330 Rockefeller Ave
Ste 310
Everett, WA 98201
Phone (425) 261-4925

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1396906129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE STE 310",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-316-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12333 NE 130th Ln",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980347467",
            "country_code": "US",
            "telephone_number": "425-899-0555",
            "fax_number": "425-899-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Rockefeller Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "98201",
            "country_code": "US",
            "telephone_number": "425-316-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00049221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwarner1007339@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1330 Rockefeller Ave Ste 310",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.