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SHANIKA PACKARD
NPI 1134633969
Rehabilitation Practitioner in Ontario, CA

Active since December 01, 2017
1500 S HAVEN AVE STE 250, ONTARIO, CA 91761(909) 749-5204 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanika Packard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANIKA PACKARD (NPI 1134633969) is an individual rehabilitation practitioner in Ontario, California and active in the NPI registry since December 2017. She maintains a secondary practice location in Boulder City.

NPPES Registry Identity

NPI1134633969
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSHANIKA PACKARD
Location Address1500 S HAVEN AVE STE 250Ontario, CA 91761-2973
Mailing Address1500 S Haven Ave Ste 250Ontario, CA 91761-2973 · (909) 749-5204
Phone(909) 749-5204
Sole ProprietorYes
Enumeration DateDecember 1, 2017
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1134633969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
1500 S HAVEN AVE STE 250, Ontario, CA 91761
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Secondary Practice Location 1

Location 1200 Wilson CirBoulder City, NV 89005-4401 · Phone (702) 294-7100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER LAQUITA PORTIS
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
ARELI MOYA
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
ANDREW TRUONG
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
JENNIFER ROSE
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
CLARENCE BOYKIN
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
SERENITY SCOTT
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
ANDREW PEREZ
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (909) 749-5204
XAVIER MADERE
Behavior Technician
1500 S HAVEN AVE STE 250
ONTARIO, CA 91761
San Bernardino County (749) 520-4909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanika Packard's NPI number?

The NPI number for Shanika Packard is 1134633969. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Shanika Packard located?

Shanika Packard practices at 1500 S Haven Ave Ste 250, Ontario, CA 91761. The listed phone number is (909) 749-5204.

What is Shanika Packard's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Shanika Packard was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.