Active NPI
Cynthia Park
- Personal Care Attendant
- Cheyenne, WY
National Provider Identifier
1619667003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- Jerrod Guerney
4406 Springer CT
Cheyenne, WY 82001 - Phone
- (307) 287-6423
- NPI assigned
- May 10, 2023
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
Jerrod Guerney
4406 Springer CT
Cheyenne, WY 82001
Mailing address
1207 Melody LN
Cheyenne, WY 82007-3696
Phone (307) 221-6721
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1619667003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 MELODY LN",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820073696",
"telephone_number": "307-221-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JERROD GUERNEY",
"address_2": "4406 SPRINGER CT",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "82001",
"telephone_number": "307-287-6423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.