Cynthia Klaisle

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN296004 Issued in CA

Practice address

1000 Sunset Blvd Ste 105
Rocklin, CA 95765-3791

Phone

(530) 886-3679

Fax

(530) 886-3670

NPI assigned

Jan 27, 2014

Last updated

Jan 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cynthia Garbutt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1578986584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SUNSET BLVD STE 105",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653791",
            "telephone_number": "530-886-3679",
            "fax_number": "530-886-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUNSET BLVD STE 105",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653791",
            "telephone_number": "530-886-3679",
            "fax_number": "530-886-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAISLE",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN296004",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NPF1317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "GARBUTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Kirk
• Joshua Marques Kirkwood
• Kelli Kirsten, RBT
• Loraine Kiskakis
• Kenneth Wayne Kizer, MD
• Riley Kline
• Kelly Rose Klinstiver
• Kenneth Andrew Kloos, P.T.
• Benjamin Devere Kloss, D.M.D.
• Carolyn Deborah Kluenker, LCSW

• Women's Health Nurse Practitioner in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.