Individual provider Active NPI

Cindy W. Bodensteiner, RN

  • Registered Nurse First Assistant
  • Willits, CA
National Provider Identifier
1902018955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
443512 Issued in CA
Practice address
1 Madrone St
Willits, CA 95490-4225
Phone
(707) 456-3171
Fax
(707) 456-3175
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 443512 CA Primary

Addresses

Primary practice location

1 Madrone St
Willits, CA 95490-4225

Mailing address

25134 Blue Jay PL
Willits, CA 95490-8515
Phone (707) 459-2708

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
443512CAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902018955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25134 BLUE JAY PL",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954908515",
            "telephone_number": "707-459-2708",
            "fax_number": "707-459-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904225",
            "telephone_number": "707-456-3171",
            "fax_number": "707-456-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSTEINER",
        "first_name": "CINDY",
        "middle_name": "W.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "443512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willits, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.