Individual provider Active NPI

Cynthia Nunez Dumlao-Taitano, NP

  • Women's Health Nurse Practitioner
  • Mangilao, GU
National Provider Identifier
1861721052
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP0004 Issued in GU
Practice address
123 Chalan Kareta
Mangilao, GU 96913-6304
Phone
(671) 735-7121
Fax
(671) 734-7097
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP0004 GU Primary

Addresses

Primary practice location

123 Chalan Kareta
Mangilao, GU 96913-6304

Mailing address

123 Chalan Kareta
Mangilao, GU 96913-6304
Phone (671) 735-7121

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP0004GUMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1861721052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHALAN KARETA",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "969136304",
            "telephone_number": "671-735-7121",
            "fax_number": "671-734-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHALAN KARETA",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "969136304",
            "telephone_number": "671-735-7121",
            "fax_number": "671-734-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMLAO-TAITANO",
        "first_name": "CYNTHIA",
        "middle_name": "NUNEZ",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GU",
            "license": "NP0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangilao, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.