Active NPI
Cynthia S Cappello, CRNA
- Certified Registered Nurse Anesthetist
- Spokane, WA
National Provider Identifier
1619019924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30004586
- Practice address
- 5633 N Lidgerwood St
Spokane, WA 99208-1224 - Phone
- (509) 484-8069
- Fax
- (509) 462-4086
- NPI assigned
- Feb 13, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30004586 | WA | Primary |
Addresses
Primary practice location
5633 N Lidgerwood St
Spokane, WA 99208-1224
Mailing address
18810 N Little Spokane Dr
Colbert, WA 99005-9250
Phone (509) 464-1854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194806 | Other | WA | L&I |
| 964-4519 | Medicaid | WA |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004586 | WA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1619019924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18810 N LITTLE SPOKANE DR",
"city": "COLBERT",
"state": "WA",
"postal_code": "990059250",
"telephone_number": "509-464-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 N LIDGERWOOD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992081224",
"telephone_number": "509-484-8069",
"fax_number": "509-462-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPELLO",
"first_name": "CYNTHIA",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30004586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0194806",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "964-4519",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.