Teton Surgical Assist Services LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

29304 Issued in WY

Legal business name

TETON SURGICAL ASSIST SERVICES LLC

Practice address

1200 Melody Creek LN
Jackson, WY 83001-8982

Phone

(307) 413-6424

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Jill Vatter, RNFA

Title

Sole Member

Phone

(307) 413-6424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1003349465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MELODY CREEK LN",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018982",
            "telephone_number": "307-413-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MELODY CREEK LN",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018982",
            "telephone_number": "307-413-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON SURGICAL ASSIST SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "VATTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "307-413-6424",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WY",
            "license": "29304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Teton Pediatrics PC
• Teton Psychology Clinic, LLC
• Teton Sports & Spine Imaging, LLC
• Teton Wellness Affiliates
• Teton Youth and Family Services
• The Children'S Learning Center
• The Lab, LLC
• The Physio Tune

• Registered Nurse First Assistant in Jackson, WY
• Providers in Jackson, WY by specialty
• Registered Nurse First Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.