Cyglenda Evangeline Stafford, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

205775 Issued in TX

Practice address

36000 Darnall Loop
Crdamc, Imc
Fort Hood, TX 76544-5095

Phone

(254) 288-8090

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912086216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690742",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765490013",
            "telephone_number": "254-288-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "address_2": "CRDAMC, IMC",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "254-288-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "CYGLENDA",
        "middle_name": "EVANGELINE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "205775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lynn Spivey, PAC
• Laveeta Sanyale Springer, REGISTERED NURSE
• Grace Elizabeth Sprott, MD
• Deshaun Squires, MS, OT
• Michael E. Stachniak, D.O.
• Travis Stannard, PHD
• Matthew Steven Stark, DO
• Maria Steed
• Rebecca Valerie Stein, PSY.D
• Arik Steinberg, CRNA

• Licensed Vocational Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.