Mekilah Marie Alt
Individual provider Active NPI Community Health Worker · Douglas, WY
NPI 1104639418 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1104639418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 539 S 4TH St Apt 3
Douglas, WY 82633-2667 - Phone
- (307) 351-0771
- NPI assigned
- Jan 30, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
539 S 4TH St Apt 3
Douglas, WY 82633-2667
Mailing address
1841 Madora Ave
Douglas, WY 82633-3057
Phone (307) 358-2846
Other providers in Douglas, WY
- A Keeler Family Dental, LLC
- Oscar Aguirre Jr.
- Erin Allington
- Bethany Alvarado
- Ann'S Best Care, LLC
- Loretta June Ausmus
- Banner Health Physicians West LLC
- Allison Barnett
All providers in Douglas, WY · Community Health Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.