Anna Somova Foreman

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

54117 Issued in WY

Practice address

476 Creek Cir
Sheridan, WY 82801-9515

Phone

(307) 298-0221

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gold Diagnostics Corp

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1346824554

  WY

  Medicare reassignment NPD

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1033962741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 CREEK CIR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 CREEK CIR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019515",
            "telephone_number": "307-298-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOVA FOREMAN",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "54117",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WY",
            "license": "54117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walton Floyd Smith, O.D.
• Catherine Snow
• Lindsay Nicole Solano, PHARMD
• Solutions Psychiatry LLC
• Sarah Ann Sommers, RD, LD
• Nysha Rae Soper
• Heather C Sorenson, SLP
• Kayhlin Rajee Sorenson
• Joseph Tyler Sottile, PA-C
• South Sheridan Medical Center, Inc

• Psychiatric/Mental Health Clinical Nurse Specialist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.