Sara Nicole Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

132080700 Issued in WY

Practice address

1603 Capitol Ave
Suite 510
Cheyenne, WY 82001-4569

Phone

(307) 635-2888

Fax

(307) 635-2888

NPI assigned

Jan 3, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trinity Care Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cheyenne, WY
  • NPI 1588900310
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1013254598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 CROOK AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015326",
            "telephone_number": "307-757-7208",
            "fax_number": "307-635-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CAPITOL AVE",
            "address_2": "SUITE 510",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014569",
            "telephone_number": "307-635-2888",
            "fax_number": "307-635-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": "132080700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132080700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maren Elayna Smith
• Marley Jean Barnes Smith, D.C.
• Mary L Smith, LPT
• Michelle Lynn Smith, LCSW
• Nicholas Sean Smith, CPHT
• Shaina Smith
• Walynn C Smith, LPT
• Michael Lynn Snarr, DO
• Emily Suzanne Snedeker
• Carly Jo Snell, RN

• Case Manager/Care Coordinator in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Case Manager/Care Coordinator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.