Individual provider Active NPI

Elizabeth Punke

  • Student in an Organized Health Care Education/Training Program
  • Laramie, WY
National Provider Identifier
1124826326
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
University of Wyoming - Wyoming Center on Aging
1000 E. University Ave.
Laramie, WY 82071
Phone
(307) 766-2829
NPI assigned
Mar 4, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

University of Wyoming - Wyoming Center on Aging
1000 E. University Ave.
Laramie, WY 82071

Mailing address

University of Wyoming - Wyoming Center on Aging
1000 E. University Ave.
Laramie, WY 82071

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1124826326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WYOMING - WYOMING CENTER ON AGING",
            "address_2": "1000 E. UNIVERSITY AVE.",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WYOMING - WYOMING CENTER ON AGING",
            "address_2": "1000 E. UNIVERSITY AVE.",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82071",
            "telephone_number": "307-766-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNKE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "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 Mar 4, 2025; 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.