Individual provider Active NPI

Cynthia Jean Holsen, WHNP RNC

  • Women's Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1699895268
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP7175 Issued in AZ
Practice address
6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone
(602) 978-1500
Fax
(602) 978-0409
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP7175 AZ Primary

Addresses

Primary practice location

6678 W Thunderbird Rd
Glendale, AZ 85306-3721

Mailing address

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone (602) 978-1500

Other identifiers 1

IdentifierTypeStateIssuer
912734MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000629 AZ Practitioner - Nurse Practitioner 7315125093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1521 E Tangerine Rd
Suite 361
Oro Valley, AZ 85755-6224
Phone (520) 545-0573

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone (602) 978-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC CurrentSince May 1, 2024 Accepting new patients
Desert West Obstetrics & Gynecology LTD CurrentSince Nov 16, 2016 Accepting new patients

Locations

6678 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 678-1500

5601 W Eugie Ave
Ste 100
Glendale, AZ 85304
Phone (602) 865-4510

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

7787 W Deer Valley Rd
Ste 296
Peoria, AZ 85382
Phone (602) 978-1500

33423 N 32nd Ave
Ste 3200
Phoenix, AZ 85085
Phone (602) 978-1500

9305 W Thomas Rd
Ste 550
Phoenix, AZ 85037
Phone (602) 978-1500

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cynthia.holsen.1@19050.direct.athenahealth.com
  • Direct secure messaging: cynthia.holsenrnwhnp.p1@direct.dwobgyn.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1699895268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSEN",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "credential": "WHNP RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP7175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912734",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.