Active NPI
Andrea Valdez, PMHNP-BC,
- Psychiatric/Mental Health Nurse Practitioner
- Rock Springs, WY
National Provider Identifier
1043058407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 54830
- Practice address
- 1124 College Dr
Rock Springs, WY 82901-5863 - Phone
- (307) 352-6680
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 54830 | WY | Primary |
Addresses
Primary practice location
1124 College Dr
Rock Springs, WY 82901-5863
Mailing address
721 N St
Rock Springs, WY 82901-5018
Phone (970) 326-3092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54830 | WY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1043058407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 N ST",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015018",
"telephone_number": "970-326-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015863",
"telephone_number": "307-352-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "ANDREA",
"credential": "PMHNP-BC,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WY",
"license": "54830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Emergency Physicians
- Gretchen Van Valkenburg
- Toni Rae Van Valkenburg, PHARM D., RPH.
- Joyce Dee Vandersloot, PHARMD
- Vase Ambulance Associates
- Vase Funeral Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.