Active NPI
Cynthia Blinn Steele, MSN, FNP-BC
- Pediatrics Physician
- Roseburg, OR
National Provider Identifier
1508383282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 201706685NP-PP
- Practice address
- 150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042 - Phone
- (541) 672-9596
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 201706685NP-PP | OR | Primary |
Addresses
Primary practice location
150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Mailing address
1563 NE Rocky Drive
Roseburg, OR 97470
Phone (415) 260-9492
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201706685NP-PP | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1508383282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 NE ROCKY DRIVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97470",
"telephone_number": "415-260-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 NE KENNETH FORD DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701042",
"telephone_number": "541-672-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "CYNTHIA",
"middle_name": "BLINN",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "201706685NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.