Active NPI
Cynthia D. McCall, ARNP
- Family Nurse Practitioner
- Davenport, WA
National Provider Identifier
1821031410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30006479
- Practice address
- 100 3Rd St
Suite 4
Davenport, WA 99122-9730 - Phone
- (509) 725-6560
- Fax
- (509) 725-1509
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00129272 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30006479 | WA | Primary |
Addresses
Primary practice location
100 3Rd St
Suite 4
Davenport, WA 99122-9730
Mailing address
100 3Rd St
Suite 1
Davenport, WA 99122-9730
Phone (509) 725-7501
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9642299 | Medicaid | WA | |
| P00206807 | Other | WA | MEDICARE RAILROAD |
| 7101132 | Medicaid | WA | |
| 7117450 | Medicaid | WA | |
| 188210 | Other | WA | DEPT. OF L & I |
| CJ6525 | Other | WA | MEDICARE RAILROAD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN00129272 | WA | MD | Registered Nurse |
| AP30006479 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Hospital District #3 | Past | Accepting new patients | |
| Lincoln County Hospital District 3 | Past | Accepting new patients | |
| Lincoln County Hospital District #3 / North Basin Medical Clinics | Past | Accepting new patients | |
| Lincoln County Hospital District 3 | Past | Accepting new patients | |
| Lincoln County Hospital District 3 | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Davenport, WA
- NPI 1841234598
-
- Family Medicine Physician
- Davenport, WA
- NPI 1053527853
-
- General Acute Care Hospital
- Davenport, WA
- NPI 1013027218
-
- Rural Health Clinic/Center
- Davenport, WA
- NPI 1558309518
-
- Rural Health Clinic/Center
- Reardan, WA
- NPI 1639113830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821031410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 3RD ST",
"address_2": "SUITE 1",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991229730",
"telephone_number": "509-725-7501",
"fax_number": "509-725-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 3RD ST",
"address_2": "SUITE 4",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991229730",
"telephone_number": "509-725-6560",
"fax_number": "509-725-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "CYNTHIA",
"middle_name": "D.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00129272",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30006479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9642299",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00206807",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101132",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7117450",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF L & I",
"identifier": "188210",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CJ6525",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.