Individual provider Active NPI

Cindy Eileen Nilsen, M.S., CCC-A

  • Audiologist
  • Inver Grove Heights, MN
National Provider Identifier
1780620120
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6223 Issued in MN
Practice address
5565 Blaine Ave
Ste 225
Inver Grove Heights, MN 55076
Phone
(651) 888-7800
Fax
(651) 452-9282
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6223 MN Primary

Addresses

Primary practice location

5565 Blaine Ave
Ste 225
Inver Grove Heights, MN 55076

Mailing address

5565 Blaine Ave
Ste 225
Inver Grove Heights, MN 55076
Phone (651) 888-7800

Other identifiers 1

IdentifierTypeStateIssuer
607525800MedicaidMN

Other names 1

  • Cindy Eileen Wood Former name

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)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1780620120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "address_2": "STE 225",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "55076",
            "telephone_number": "651-888-7800",
            "fax_number": "651-645-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "address_2": "STE 225",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "55076",
            "telephone_number": "651-888-7800",
            "fax_number": "651-452-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "CINDY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "6223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607525800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "WOOD",
            "middle_name": "EILEEN",
            "credential": "M.S., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.