Individual provider Active NPI

Zachary Dale Herman

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1033807888
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225-T2 Issued in WY
Practice address
820 E 17TH St
Cheyenne, WY 82001-4714
Phone
(307) 632-2434
Fax
(307) 635-3510
NPI assigned
Apr 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225-T2 WY Primary
Family Medicine Physician 207Q00000X 18751A WY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

820 E 17TH St
Cheyenne, WY 82001-4714

Mailing address

820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 632-2434

Other practice location 1

201 14th St
Wheatland, WY 82201-3201
Phone (307) 322-3636

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808000683 WY Order and Referring Only - Family PracticePractitioner - Family Practice 0446797419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225-T2WYMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: zachary.herman.1@30244.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1033807888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014714",
            "telephone_number": "307-632-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014714",
            "telephone_number": "307-632-2434",
            "fax_number": "307-635-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 14th St",
            "address_purpose": "LOCATION",
            "city": "Wheatland",
            "state": "WY",
            "postal_code": "822013201",
            "country_code": "US",
            "telephone_number": "307-322-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "ZACHARY",
        "middle_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "225-T2",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "18751A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.