Individual provider Active NPI

Cecilia Lynn, MSN, RN, FNP-BC

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1417321936
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
N260626612 Issued in WA
Practice address
1101 Madison St
First Hill Campus, Suite 510
Seattle, WA 98104-1306
Phone
(206) 386-6600
Fax
(206) 386-2452
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129363 TX
Nurse Practitioner 363L00000X N260626612 WA Primary

Addresses

Primary practice location

1101 Madison St
First Hill Campus, Suite 510
Seattle, WA 98104-1306

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211209001244 DC Practitioner - Nurse Practitioner 1355646860 Reassigns benefits to 1 organization
I20220103001570 VA Practitioner - Nurse Practitioner 1355646860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax Colon and Rectal Surgery PCGroup PAC ID 4385628411, 12 clinicians

Practice addresses (Care Compare)

2710 Prosperity Ave
Suite 200
Fairfax, VA 22031-4358
Phone (703) 280-2841

7051 Heathcote Village Way
Suite 135
Gainesville, VA 20155-3196
Phone (703) 280-2841

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP129363TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Colon & Rectal Surgery, PC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1800 N Beauregard St
Ste 310
Alexandria, VA 22311

2710 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 650-2333

2710 Prosperity Ave
Fairfax, VA 22031
Phone (702) 289-1290

3700 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 620-1770

7051 Heathcote Village Way
Ste 135
Gainesville, VA 20155

44055 Riverside Pkwy
Ste 102
Leesburg, VA 20176
Phone (703) 858-1500

Interoperability endpoints

  • Direct secure messaging: clynn514271@direct.healthsystem.virginia.edu

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.

Hospital & facility affiliations 3

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": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1417321936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "FIRST HILL CAMPUS, SUITE 510",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-386-6600",
            "fax_number": "206-386-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "CECILIA",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129363",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "N260626612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.