Individual provider Active NPI

Cynthia Ann Pastorino, ARNP

  • Gerontology Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1790846376
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN153266 NP Issued in GA
Practice address
2550 Windy Hill Rd SE
Suite 309
Marietta, GA 30067-8665
Phone
(770) 951-1565
NPI assigned
Dec 13, 2006
Last updated
Apr 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN153266 NP GA Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE
Suite 309
Marietta, GA 30067-8665

Mailing address

1456 Lynchburg PL
Marietta, GA 30062-2063
Phone (770) 363-5093

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN153266 NPGAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zilmed LLC Past Accepting new patients
Zilmed, Inc. PastSince Oct 1, 2014 Accepting new patients
Piedmont Healthcare Inc PastSince Feb 3, 2010 Accepting new patients
Shubhang Mazumdar MD Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1790846376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 LYNCHBURG PL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622063",
            "telephone_number": "770-363-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 309",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-951-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORINO",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN153266 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.