Organization Active NPI

Stone Meadow Health and Wellness PC

  • Family Nurse Practitioner
  • Laramie, WY
National Provider Identifier
1124496872
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10494.0283 Issued in WY
Legal business name
STONE MEADOW HEALTH AND WELLNESS PC
Practice address
204 McCollum St
Suite 203
Laramie, WY 82070-5103
Phone
(307) 745-8298
Fax
(307) 742-9468
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Gloria Stoddard, MS,FNP
Title
President
Phone
(307) 745-8298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 10494.0283 WY Primary

Addresses

Primary practice location

204 McCollum St
Suite 203
Laramie, WY 82070-5103

Mailing address

204 McCollum St
Suite 203
Laramie, WY 82070-5103
Phone (307) 745-8298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1124496872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST",
            "address_2": "SUITE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705103",
            "telephone_number": "307-745-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST",
            "address_2": "SUITE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705103",
            "telephone_number": "307-745-8298",
            "fax_number": "307-742-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE MEADOW HEALTH AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-745-8298",
        "authorized_official_credential": "MS,FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "10494.0283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.