Cynthia Wornstaff NP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CYNTHIA WORNSTAFF NP LLC

Practice address

3528 Tongass Ave
Ketchikan, AK 99901-5635

Phone

(907) 965-4040

Fax

(844) 742-6548

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Cynthia Louise Wornstaff, FNP

Title

Family Nurse Practitioner

Phone

(907) 965-4040

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1639644024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015635",
            "telephone_number": "907-965-4040",
            "fax_number": "844-742-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015635",
            "telephone_number": "907-965-4040",
            "fax_number": "844-742-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA WORNSTAFF NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "WORNSTAFF",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "907-965-4040",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0234",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Cothren, M.D.
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• Estelle Cowie, MA, CDCS
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• Meghan Dahlquist
• Torijaun D'Aundre Dallas, MD
• Sarah Daly
• Cyrus Daniel
• David a Albertson DDS

• Family Nurse Practitioner in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.