Active NPI
Cindy H Packer, CNS
- Psychiatric/Mental Health Nurse Practitioner
- Fishersville, VA
National Provider Identifier
1013981083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024165889
- Practice address
- 19 Briar Knoll CT
Ste 1
Fishersville, VA 22939-2635 - Phone
- (540) 949-0955
- Fax
- (540) 949-8377
- NPI assigned
- Feb 15, 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 0024165889 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024165889 | VA | Primary |
Addresses
Primary practice location
19 Briar Knoll CT
Ste 1
Fishersville, VA 22939-2635
Mailing address
PO Box 4127
Roanoke, VA 24015-0127
Phone (940) 981-9394
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085354M | Other | VA | OPTIMA BEHAVORIAL |
| 172650 | Other | VA | ANTHEM BEHAVORIAL |
| 5596863 | Other | VA | FIRST HEALTH |
| 010093317 | Other | VA | VIRGINIA PREMIER |
| 010093317 | Medicaid | VA |
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165889 | VA | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Psychiatric Medicine LLC | Past | Accepting new patients | |
| Comprehensive Health Systems,PLC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Staunton, VA
- NPI 1649376450
Psychiatric/Mental Health
-
- Community Health Worker
- Fishersville, VA
- NPI 1659624054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1013981083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4127",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240150127",
"telephone_number": "940-981-9394",
"fax_number": "540-344-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRIAR KNOLL CT",
"address_2": "STE 1",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392635",
"telephone_number": "540-949-0955",
"fax_number": "540-949-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKER",
"first_name": "CINDY",
"middle_name": "H",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "VA",
"license": "0024165889",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024165889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA BEHAVORIAL",
"identifier": "085354M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BEHAVORIAL",
"identifier": "172650",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5596863",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER",
"identifier": "010093317",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010093317",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.