NPIMap

Organization Active NPI

Cynthia L Desmond MSN Arnp Inc PS

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1801080221
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30004043 Issued in WA
Legal business name
CYNTHIA L DESMOND MSN ARNP INC PS
Practice address
1818 So Union Ave
Suite 2a
Tacoma, WA 98405
Phone
(253) 473-7637
Fax
(253) 671-8472
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Mrs. Cynthia L Desmond, ARNP
Title
President Et Al
Phone
(253) 473-7637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP30004043 WA Primary

Addresses

Primary practice location

1818 So Union Ave
Suite 2a
Tacoma, WA 98405

Mailing address

1818 So Union Ave
Suite 2a
Tacoma, WA 98405
Phone (253) 473-7637

Other identifiers 1

IdentifierTypeStateIssuer
9621913MedicaidWA

Other names 1

  • Pacific Northwest Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

1818 S Union Ave
Ste 2A
Tacoma, WA 98405
Phone (253) 473-7637

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1801080221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SO UNION AVE",
            "address_2": "SUITE 2A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-473-7637",
            "fax_number": "253-671-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SO UNION AVE",
            "address_2": "SUITE 2A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-473-7637",
            "fax_number": "253-671-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA L DESMOND MSN ARNP INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT ET AL",
        "authorized_official_telephone_number": "253-473-7637",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9621913",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Northwest Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.