Individual provider Active NPI

Dana Grenier, FNP-BC

  • Family Nurse Practitioner
  • Rock Springs, WY
National Provider Identifier
1003287947
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23508-1446 Issued in WY
Practice address
2706 Ankeny Way
Rock Springs, WY 82901-5649
Phone
(307) 352-6689
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23508-1446 WY Primary

Addresses

Primary practice location

2706 Ankeny Way
Rock Springs, WY 82901-5649

Mailing address

1009 Peachwood Dr
Rock Springs, WY 82901-4626
Phone (307) 352-6689

Other practice location 1

2751 Commercial Way
Rock Springs, WY 82901-4753
Phone (307) 382-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125000503 WY Practitioner - Nurse Practitioner 8921380080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Southwest Counseling ServiceGroup PAC ID 5890777437, 7 clinicians

Practice addresses (Care Compare)

1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-6677

2300 Foothill Blvd
Rock Springs, WY 82901-5610

Hospital & facility affiliations

  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318
  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23508-1446WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Counseling Service CurrentSince Nov 14, 2018 Accepting new patients
Southwest Counseling Service CurrentSince Nov 14, 2018 Accepting new patients
Terry Donaldson MD, PC. CurrentSince Dec 21, 2016 Accepting new patients

Locations

2300 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 352-6689

1124 College Dr
Rock Springs, WY 82901
Phone (307) 352-6680

1577 Dewar Dr
Ste 8
Rock Springs, WY 82901
Phone (307) 362-0707

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/82c1b592-2342-43bd-a292-07e36f400517/

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1003287947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 PEACHWOOD DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014626",
            "telephone_number": "307-352-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 ANKENY WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015649",
            "telephone_number": "307-352-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Commercial Way",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829014753",
            "country_code": "US",
            "telephone_number": "307-382-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENIER",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "23508-1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.