Provider Demographics
NPI:1275335127
Name:SPADY, CYDNEY TAYLOR
Entity type:Individual
Prefix:
First Name:CYDNEY
Middle Name:TAYLOR
Last Name:SPADY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N MONROE ST APT 47
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68850-2232
Mailing Address - Country:US
Mailing Address - Phone:308-650-9407
Mailing Address - Fax:
Practice Address - Street 1:300 N MONROE ST APT 47
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-2232
Practice Address - Country:US
Practice Address - Phone:308-650-9407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant