Cindy B Faulkner, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

262 Issued in WY

Practice address

1008 Feldspar Court
Hanna, WY 82327

Phone

(307) 325-6596

Fax

(307) 325-6597

NPI assigned

Jan 18, 2006

Last updated

Feb 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laramie Urgent Care

  • Urgent Care Clinic/Center
  • Laramie, WY
  • NPI 1376859322
  NPD (past)
• Kremmling Memorial Hospital District

  dba dba Middle Park Medical Center

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1619957685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 FELDSPAR COURT",
            "city": "HANNA",
            "state": "WY",
            "postal_code": "82327",
            "telephone_number": "307-325-6596",
            "fax_number": "307-325-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 FELDSPAR COURT",
            "city": "HANNA",
            "state": "WY",
            "postal_code": "82327",
            "telephone_number": "307-325-6596",
            "fax_number": "307-325-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "CINDY",
        "middle_name": "B",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116832100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "312330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00074038",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Ellis, LCSW
• Julie Ann Freeman, APRN-FNP-C
• Calvin Garrison, PA
• Hanna EMS
• Julie Freeman FNP
• William Carey Lake, APRN

• Medical Physician Assistant in Hanna, WY
• Providers in Hanna, WY by specialty
• Medical Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.