Active NPI
Kathleen Parmer
- Adult Medicine Physician
- Cheyenne, WY
National Provider Identifier
1104418789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 47162
- Practice address
- 219 E 20TH St Ste 300
Cheyenne, WY 82001-3783 - Phone
- (307) 701-5400
- Fax
- (307) 514-3337
- NPI assigned
- Feb 5, 2021
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 47162 | WY | Primary |
Addresses
Primary practice location
219 E 20TH St Ste 300
Cheyenne, WY 82001-3783
Mailing address
3415 Cheyenne St Ste a
Cheyenne, WY 82001-1774
Phone (307) 638-2505
Other practice location 1
3415 Cheyenne St Ste A
Cheyenne, WY 82001-1774
Phone (307) 638-2505
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 |
|---|---|---|---|
| 47162 | WY | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Employee on-Boarding Specialties LLC | Current | Accepting new patients |
Locations
3415 Cheyenne St
Ste A
Cheyenne, WY 82001
Phone (307) 638-2505
219 E 20th St
Ste 300
Cheyenne, WY 82001
Phone (307) 701-5400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Cheyenne, WY
- NPI 1053034082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1104418789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 CHEYENNE ST STE A",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011774",
"telephone_number": "307-638-2505",
"fax_number": "307-634-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E 20TH ST STE 300",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013783",
"telephone_number": "307-701-5400",
"fax_number": "307-514-3337"
}
],
"practiceLocations": [
{
"address_1": "3415 Cheyenne St Ste A",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820011774",
"country_code": "US",
"telephone_number": "307-638-2505",
"fax_number": "307-634-1025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARMER",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WY",
"license": "47162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.