Goodwill Industries of Wyoming Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF WYOMING INC.

Practice address

612 W 17TH St
Cheyenne, WY 82001-4343

Phone

(307) 634-0823

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jana Kay Conine, MA

Title

Ceo

Phone

(307) 634-0823

Specialties & licenses 1

Addresses

Tax ID family

Goodwill Industries of Wy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodwill Industries of Wy, Inc.

  • Case Management Agency
  • Cheyenne, WY
  • NPI 1639303167
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Kamber

  • Clinical Social Worker
  • Cheyenne, WY
  • NPI 1306225313

  Day Training, Developmentally Disabled Services

  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1043448921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014343",
            "telephone_number": "307-634-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014343",
            "telephone_number": "307-634-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF WYOMING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "CONINE",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-634-0823",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garald Francia Goode, RRT,CRT
• Jennifer Jean Goodman, RN
• Linda Eileen Goodman, MS, LPC
• Kristen J. Goodrich, R.PH.
• Goodwill Industries of Wy, Inc.
• Mary Therese Goodwin
• Courtney Jayanna Gore, PHARM.D
• Jacqueline Gore, LPN
• Lyndie N Gore, PHARM D
• Stevana Gosbee, NP-C

• Developmentally Disabled Services Day Training Agency in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Developmentally Disabled Services Day Training Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.