Active NPI
Purple Skies Health and Vitality Clinic LLC
- Clinic/Center
- Buffalo, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PURPLE SKIES HEALTH AND VITALITY CLINIC LLC
- Practice address
- 915 W Fetterman St Unit 1
Buffalo, WY 82834-2449 - Phone
- (307) 752-8136
- Fax
- (307) 785-1096
- NPI assigned
- Jan 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Rasmuson, NP-C
- Title
- Nurse Practitioner/Owner
- Phone
- (307) 221-6430
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
915 W Fetterman St Unit 1
Buffalo, WY 82834-2449
Mailing address
PO Box 975
Buffalo, WY 82834-0975
Phone (307) 221-6430
Other practice location 1
1301 Avon St Ste A
Sheridan, WY 82801-2758
Phone (307) 752-8136
Other names 1
- Purple Skies Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2316736 | Purple Skies Health and Vitality Clinic, LLC | Certificate of waiver | Jan 9, 2027 |
| 53D2316737 | Purple Skies Health and Vitality Clinic, LLC | Certificate of waiver | May 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
915 W Fetterman St
Unit 1
Buffalo, WY 82834
1745 S Sheridan Ave
Sheridan, WY 82801
Phone (307) 752-8136
1745 S Sheridan Ave
Ste D
Sheridan, WY 82801
Phone (307) 785-8136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1053181701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 975",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828340975",
"telephone_number": "307-221-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 W FETTERMAN ST UNIT 1",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828342449",
"telephone_number": "307-752-8136",
"fax_number": "307-785-1096"
}
],
"practiceLocations": [
{
"address_1": "1301 Avon St Ste A",
"address_purpose": "LOCATION",
"city": "Sheridan",
"state": "WY",
"postal_code": "828012758",
"country_code": "US",
"telephone_number": "307-752-8136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PURPLE SKIES HEALTH AND VITALITY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-04",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A",
"authorized_official_last_name": "RASMUSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "307-221-6430",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Purple Skies Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Purple Skies Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.