Active NPI
Cynthia Bool, FNP-C
- Family Nurse Practitioner
- Hammett, ID
National Provider Identifier
1578801106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53866
- Practice address
- 9394 W Flock Rd
Hammett, ID 83627-6392 - Phone
- (208) 943-1168
- NPI assigned
- Jan 16, 2013
- Last updated
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53866 | ID | Primary |
Addresses
Primary practice location
9394 W Flock Rd
Hammett, ID 83627-6392
Mailing address
9394 W Flock Rd
Hammett, ID 83627-6392
Phone (208) 943-1168
Other names 1
- Cynthia Cuellar
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53866 | ID | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1578801106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9394 W FLOCK RD",
"city": "HAMMETT",
"state": "ID",
"postal_code": "836276392",
"telephone_number": "208-943-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9394 W FLOCK RD",
"city": "HAMMETT",
"state": "ID",
"postal_code": "836276392",
"telephone_number": "208-943-1168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOL",
"first_name": "CYNTHIA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "53866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "CUELLAR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hammett, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.