Individual provider Active NPI

Cynthia B. Flynn, CNM, PHD

  • Advanced Practice Midwife
  • Washington, DC
National Provider Identifier
1477532406
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP30003949 Issued in WA
Practice address
801 17TH St NE
Washington, DC 20002-7200
Phone
(509) 586-6248
Fax
(509) 586-7928
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP30003949 WA Primary

Addresses

Primary practice location

801 17TH St NE
Washington, DC 20002-7200

Mailing address

424 S Washington St
Kennewick, WA 99336-3950
Phone (509) 586-6248

Other identifiers 1

IdentifierTypeStateIssuer
9617895MedicaidWA

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)
Enrolled
Credentials
Certified Nurse Midwife, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Birth Care, LLC Advanced Practice Midwife Current Accepting new patients
Columbia Birth Center, LLC Current Accepting new patients
Columbia Birth Center Past Accepting new patients

Locations

948 Stevens Dr
Ste C
Richland, WA 99352
Phone (509) 905-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1477532406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S WASHINGTON ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363950",
            "telephone_number": "509-586-6248",
            "fax_number": "509-586-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 17TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027200",
            "telephone_number": "509-586-6248",
            "fax_number": "509-586-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "CYNTHIA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "CNM, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30003949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9617895",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.