Individual provider Active NPI

Cynthia Tuminello, CRNA

  • Anesthesiology Physician
  • Gulfport, MS
National Provider Identifier
1720151459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R630136 Issued in MS
Practice address
4500 13TH St
Gulfport, MS 39501-2515
Phone
(228) 818-0563
Fax
(228) 818-0519
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R630136 MS Primary

Addresses

Primary practice location

4500 13TH St
Gulfport, MS 39501-2515

Mailing address

22 Doctors Dr
Suite C
Ocean Springs, MS 39564
Phone (228) 818-0563

Other identifiers 1

IdentifierTypeStateIssuer
00120329MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001242 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527031129 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Etas, PLLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Jackson County Anesthesia Anesthesiology PastSince Aug 10, 2025 Accepting new patients
Gulfport Anesthesia Services, P.a. Past Accepting new patients
Sun Coast Anesthesia PA Anesthesiology Past Accepting new patients
Gulfport Outpatient Anesthesia, P.a. Anesthesiology Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1720B Medical Park Dr
Biloxi, MS 39532
Phone (228) 396-9161

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

Organizations & group practices 7

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720151459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DOCTORS DR",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-818-0563",
            "fax_number": "228-818-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-818-0563",
            "fax_number": "228-818-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMINELLO",
        "first_name": "CYNTHIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "R630136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120329",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.