Active NPI
Cindy Packard, L.M.
- Midwife
- Gilbert, AZ
National Provider Identifier
1033536669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 079
- Practice address
- 2905 E Gemini St
Gilbert, AZ 85234-4019 - Phone
- (480) 747-4451
- Fax
- (480) 981-0897
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 079 | AZ | Primary |
Addresses
Primary practice location
2905 E Gemini St
Gilbert, AZ 85234-4019
Mailing address
2905 E Gemini St
Gilbert, AZ 85234-4019
Phone (480) 747-4451
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079 | AZ | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1033536669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 E GEMINI ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344019",
"telephone_number": "480-747-4451",
"fax_number": "480-981-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 E GEMINI ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344019",
"telephone_number": "480-747-4451",
"fax_number": "480-981-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKARD",
"first_name": "CINDY",
"credential": "L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": "079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.