Active NPI
Catherine Marie Depalma, MD
- Pediatrics Physician
- Evanston, WY
National Provider Identifier
1144272394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7258A
- Practice address
- 195 Feather Way
Evanston, WY 82930-9227 - Phone
- (307) 789-1102
- Fax
- (307) 789-9273
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7258A | WY | Primary |
Addresses
Primary practice location
195 Feather Way
Evanston, WY 82930-9227
Mailing address
195 Feather Way
Evanston, WY 82930-9227
Phone (307) 789-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121468300 | Medicaid | WY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Catherine.depalma.1@16971.direct.athenahealth.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7258A | WY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lincoln Hospital District | Past | Accepting new patients |
Interoperability endpoints
- catherine.depalma.1@16971.direct.athenahealth.com
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.
-
- Rural Health Clinic/Center
- Evanston, WY
- NPI 1689207722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1144272394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 FEATHER WAY",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309227",
"telephone_number": "307-789-1102",
"fax_number": "307-789-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 FEATHER WAY",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309227",
"telephone_number": "307-789-1102",
"fax_number": "307-789-9273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPALMA",
"first_name": "CATHERINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2022-05-19",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WY",
"license": "7258A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121468300",
"state": "WY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Catherine.depalma.1@16971.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "slhd clinic",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "195 Feather Way",
"city": "Evanston",
"state": "WY",
"country_code": "US",
"postal_code": "829309227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.