Individual provider Active NPI

Jacqueline A Schwalbe

  • Case Manager/Care Coordinator
  • Thermopolis, WY
National Provider Identifier
1073860870
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
121 S 4TH St
Thermopolis, WY 82443-2634
Phone
(307) 864-3138
Fax
(307) 864-3139
NPI assigned
Aug 10, 2012
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X WY Primary

Addresses

Primary practice location

121 S 4TH St
Thermopolis, WY 82443-2634

Mailing address

121 S 4TH St
Thermopolis, WY 82443-2634
Phone (307) 864-3138

Other identifiers 2

IdentifierTypeStateIssuer
108969204MedicaidWY
108969205MedicaidWY

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

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1073860870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432634",
            "telephone_number": "307-864-3138",
            "fax_number": "307-864-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 4TH ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432634",
            "telephone_number": "307-864-3138",
            "fax_number": "307-864-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALBE",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108969204",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108969205",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thermopolis, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.