Active NPI
Cynthia Lee Nielson, PA
- Medical Physician Assistant
- Marysville, CA
National Provider Identifier
1578588349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA11205
- Practice address
- 6000 Lindhurst Ave
Ste 601a
Marysville, CA 95901-6129 - Phone
- (530) 741-6245
- Fax
- (530) 743-5044
- NPI assigned
- Jul 13, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA11205 | CA | Primary |
Addresses
Primary practice location
6000 Lindhurst Ave
Ste 601a
Marysville, CA 95901-6129
Mailing address
140 Hurlburt LN
Gridley, CA 95948-9584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA11205 | Other | CA | LICENSE |
Other names 1
- Cynthia Lee Nielson
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11205 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578588349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HURLBURT LN",
"city": "GRIDLEY",
"state": "CA",
"postal_code": "959489584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 LINDHURST AVE",
"address_2": "STE 601A",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959016129",
"telephone_number": "530-741-6245",
"fax_number": "530-743-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "CYNTHIA",
"middle_name": "LEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA11205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA11205",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "NIELSON",
"middle_name": "LEE",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.