Cynthia Lea Anderson, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP 17486 Issued in CA

Practice address

215 Bonair St
Apt. 11
La Jolla, CA 92037-0009

Phone

(619) 532-8250

NPI assigned

Jan 10, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Cynthia Lea Anderson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1790961654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BONAIR ST",
            "address_2": "APT. 11",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BONAIR ST",
            "address_2": "APT. 11",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370009",
            "telephone_number": "619-532-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CYNTHIA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP 17486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "ANDERSON",
            "middle_name": "LEA",
            "prefix": "MS.",
            "credential": "CPNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eneh-Lieh J Ancheta, NP
• Kristoffer Allan Ancho, PMHNP-BC
• Johndel Andaya
• Aimee Jo Anderson
• Brian Mark Anderson
• Danica Anderson, PA-C
• Hans Johannes Anderson, M.D.
• Jacqueline Martinico Anderson, MD
• Kierstin Nicole Anderson
• Leslie Karwoski Anderson, PHD

• Pediatric Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.