Judy J Dishman

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

113263600 Issued in WY

Practice address

1100 Erwin St
Douglas, WY 82633-2950

Phone

(307) 274-5522

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1003711383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ERWIN ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332950",
            "telephone_number": "307-274-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ERWIN ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332950",
            "telephone_number": "307-274-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "JUDY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WY",
            "license": "113263600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Danielson
• Amanda Lee Darr, OTR
• Calee Jo Davidson, PHARMD
• Tanisha Crystal Dexter
• Barbara Gayle Dillard/Simms
• Douglas Care Center, LLC
• Douglas Care Center, LLC
• Douglas Med Spa LLC
• Douglas Medical Skincare & Health Clinic
• Amanda Kay Dykes, FNP-BC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Douglas, WY
• Providers in Douglas, WY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.