Organization Active NPI

Cynthia Audo

  • Local Education Agency (LEA)
  • Fort Bragg, CA
National Provider Identifier
1902276637
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
16218 Issued in CA
Legal business name
CYNTHIA AUDO
Practice address
30601 Pudding Creek Rd
Fort Bragg, CA 95437-8109
Phone
(707) 961-9699
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Mrs. Cynthia Audo, SLP
Title
Speech Language Pathologist
Phone
(707) 961-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 16218 CA Primary

Addresses

Primary practice location

30601 Pudding Creek Rd
Fort Bragg, CA 95437-8109

Mailing address

PO Box 803
Fort Bragg, CA 95437-0803
Phone (707) 961-9699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1902276637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954370803",
            "telephone_number": "707-961-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30601 PUDDING CREEK RD",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954378109",
            "telephone_number": "707-961-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA AUDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "AUDO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "707-961-9699",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "16218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.