Individual provider Active NPI

Cynthia Marie Thiem, FNP-BC, MSN

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1760866974
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9575 Issued in AZ
Practice address
7350 E 22ND St
Tucson, AZ 85710-6427
Phone
(520) 717-8389
Fax
(520) 771-9339
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9575 AZ Primary
Pain Medicine Physician 208VP0000X AP9575 AZ

Addresses

Primary practice location

7350 E 22ND St
Tucson, AZ 85710-6427

Mailing address

7350 E 22ND St
Tucson, AZ 85710-6427
Phone (520) 771-8389

Other identifiers 1

IdentifierTypeStateIssuer
373008MedicaidAZ

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
I20180607002884 AZ Practitioner - Nurse Practitioner 8426354044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saguaro Pain Management PLLCGroup PAC ID 7214328095, 2 clinicians

Practice addresses (Care Compare)

7350 E 22ND St
Tucson, AZ 85710-6427
Phone (520) 771-8389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP9575AZMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexzell Primary Care, PLLC CurrentSince Apr 9, 2024 Accepting new patients
Saguaro Pain Management, PLLC CurrentSince Dec 10, 2021 Accepting new patients

Locations

7350 E 22nd St
Tucson, AZ 85710
Phone (520) 296-3999

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1760866974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106427",
            "telephone_number": "520-771-8389",
            "fax_number": "520-771-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106427",
            "telephone_number": "520-717-8389",
            "fax_number": "520-771-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEM",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9575",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "AP9575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373008",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.