NPIMap

Organization Active NPI

Accredited Case Management

  • Case Management Agency
  • Casper, WY
National Provider Identifier
1093026973
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ACCREDITED CASE MANAGEMENT
Practice address
3440 E 19TH St
Casper, WY 82609-3552
Phone
(307) 266-2031
Fax
(307) 266-2032
NPI assigned
Jun 25, 2010
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Robert Lee Peterson, M.ED.NPI 1518010636
Title
Owner
Phone
(307) 267-7224

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3440 E 19TH St
Casper, WY 82609-3552

Mailing address

3440 E 19TH St
Casper, WY 82609-3552
Phone (307) 266-2031

National Provider Directory

National Provider Directory
Tax ID family
Accredited Case Management2 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.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1093026973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E 19TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093552",
            "telephone_number": "307-266-2031",
            "fax_number": "307-266-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E 19TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093552",
            "telephone_number": "307-266-2031",
            "fax_number": "307-266-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-267-7224",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.