Cindy Irene Tennessen, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

165732 Issued in AK

Practice address

354 Tyee St
Soldotna, AK 99669-7657

Phone

(907) 714-5870

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ctennessen1663716@ak.providencedirect.org

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.

• Central Peninsula General Hospital Inc

  • Rural Acute Care Hospital
  • Soldotna, AK
  • NPI 1295059921
  NPD (past)
• Central Peninsula General Hospital, Inc

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1073043717
  NPD (past)
• Central Peninsula General Hospital, Inc

  • Gastroenterology Physician
  • Soldotna, AK
  • NPI 1154194819
  NPD (past)
• Central Peninsula General Hospital, Inc

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1174122766
  NPD (past)
• Central Peninsula General Hospital, Inc

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1679179204
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1508430646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N BINKLEY ST STE 202",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697500",
            "telephone_number": "907-714-5870",
            "fax_number": "907-260-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 TYEE ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697657",
            "telephone_number": "907-714-5870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 Tyee St",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697631",
            "country_code": "US",
            "telephone_number": "907-714-5870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 N Binkley St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697500",
            "country_code": "US",
            "telephone_number": "907-714-5870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47480 Kristina Way",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996115902",
            "country_code": "US",
            "telephone_number": "907-714-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNESSEN",
        "first_name": "CINDY",
        "middle_name": "IRENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "165732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctennessen1663716@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "354 Tyee St",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlyn Nicole Svopa, DPT
• Swiftwater Dermatology
• Katie Tallent Maxwell, LMT
• Brittany Maurine Taylor
• Rose M Taylor
• The Dermatology and Skin Cancer Clinic of Alaska
• The Nesting Place, LLC
• Sarah Jo Theis
• Theodore Barton
• Diana Thomas

• Addiction (Substance Use Disorder) Registered Nurse in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.