Pas Wyoming

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PAS WYOMING

Practice address

1465 N 4TH St Ste 111
Laramie, WY 82072-2066

Phone

(307) 460-0507

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Mark Sparks Jr.

Title

Director

Phone

(307) 460-0507

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Kim Candelaria

  • Case Manager/Care Coordinator
  • Laramie, WY
  • NPI 1750857900
  NPD (past)

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1003384983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1630",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820731630",
            "telephone_number": "307-460-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 N 4TH ST STE 111",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722066",
            "telephone_number": "307-460-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAS WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-460-0507",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149132601",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Parkinson
• Shanda Parrent
• Chad Parris
• Callie Parrish
• Trisha Parsons
• Pathway, Inc.
• Patricia M Nichols
• Charles Patterson
• Emmanuel Pattishall-Baker
• Travis Patton

• Case Management Agency in Laramie, WY
• Providers in Laramie, WY by specialty
• Case Management Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.