CYNTHIA LYNN PACKARD (NPI# 1679105357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679105357 |
| Entity Type | Individual |
| Full Name | CYNTHIA LYNN PACKARD |
| Credential | RDH |
| Practice Address |
900 Church St Springfield CO 81073-1636 |
| Mailing Address |
Po Box 193 Walsh CO 81090-0193 |
| Practice Telephone | 7195299811 |
| Mailing Telephone | 7195299811 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 202013 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 202013DH | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881933083 | Cynthia Packard | Registered Nurse | 3100 Edgewood Rd, Eureka, CA 95501-2775 | 2013-02-07 |
| Street Address |
900 CHURCH ST |
| City | SPRINGFIELD |
| State | CO |
| Zip Code | 81073-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396717013 | Dana Marie Lewis | Family Medicine | 900 Church St, Springfield, CO 81073-1636 | 2006-02-06 |
| 1659902898 | Poudre Valley Medical Group, LLC | Internal Medicine | 900 Church St, Springfield, CO 81073-1636 | 2020-01-27 |
| 1659709574 | Ty Shettron | Nurse Practitioner | 900 Church St, Springfield, CO 81073-1636 | 2013-11-01 |
| 1447300959 | Springfield Clinic | Clinic/Center | 900 Church St, Springfield, CO 81073-1662 | 2007-01-10 |
| 1609944313 | Antonio S Manalo | Family Medicine | 900 Church St, Springfield, CO 81073 | 2006-12-01 |
| 1669565677 | Southeast Colorado Hospital District | Clinic/Center | 900 Church St, Springfield, CO 81073-1636 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124031190 | County Commissioners of Baca | Public Health or Welfare | 741 Main Street, Suite #4, Springfield, CO 81073 | 2006-08-14 |
| 1922176643 | Staci Faye Bishop | Physician Assistant | 373 East 10th Avenue, Springfield, CO 81073-0000 | 2006-12-01 |
| 1699253989 | Baca Home Care Agency, Inc | Adult Companion | 681 W 5th Ave, Springfield, CO 81073-1208 | 2018-07-30 |
| 1316107972 | Leeanna Turner | Registered Nurse | 700 Colorado St, Springfield, CO 81073-1425 | 2008-06-16 |
| 1225340060 | Chambrey Ann Johnson | Occupational Therapist | 900 Hill St, Springfield, CO 81073-1435 | 2010-07-09 |
| 1457472086 | Baca County Department of Social Services | Case Manager/Care Coordinator | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-04-02 |
| 1548704729 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2016-12-07 |
| 1740489947 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-07-17 |
| 1922250976 | County Commissioners of Baca | Registered Nurse | 741 Main St, Suite #4, Springfield, CO 81073-1548 | 2008-10-21 |
| 1194191288 | Jessami Caddick | Registered Nurse | 741 Main St, 4, Springfield, CO 81073-1548 | 2015-08-12 |
| Find all providers in zip 81073 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1437506482 | Albert Evans | Dental Hygienist | 1230 Piedmont St, Springfield, OR 97477-2609 | 2016-05-19 |
| 1770981821 | Daniel Warner | Dental Hygienist | 4955 S National Ave, Springfield, MO 65810-2989 | 2014-12-05 |
| 1437561321 | Jennifer Elizabeth Inman | Dental Hygienist | 4825 Camellia St, Springfield, OR 97478-6753 | 2014-05-27 |
| 1114353901 | Cinda Holaday | Dental Hygienist | 1137 S 45th St, Springfield, OR 97478-7539 | 2013-09-24 |
| 1144564808 | Chelsea Baker | Dental Hygienist | 734 N 66th St, Springfield, OR 97478-7110 | 2012-11-19 |
| 1275804528 | Naiya M Cirillo | Dental Hygienist | 38 Brunswick St, Springfield, MA 01108-2814 | 2012-01-18 |
| 1902115983 | Lilliane Marie Kemp | Dental Hygienist | 38708 Natures Garden St, Springfield, OR 97478-9655 | 2010-09-24 |
| 1336785971 | Megan Danielle Kindernay | Dental Hygienist | 2633 Chatham Rd, Springfield, IL 62704-4185 | 2019-11-19 |
| 1427523265 | Kristin Lee Shoemaker | Dental Hygienist | 575 S 70th St, Springfield, OR 97478-7452 | 2018-10-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 81073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.