Active NPI
Misty Ann Jackson
- Developmentally Disabled Services Day Training Agency
- Carpenter, WY
National Provider Identifier
1154239366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 4022 S Cabot Rd
Carpenter, WY 82054-9611 - Phone
- (307) 287-0818
- NPI assigned
- Aug 29, 2026
- 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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | WY | Primary |
Addresses
Primary practice location
4022 S Cabot Rd
Carpenter, WY 82054-9611
Mailing address
4022 S Cabot Rd
Carpenter, WY 82054-9611
Phone (307) 287-0818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1154239366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 S CABOT RD",
"city": "CARPENTER",
"state": "WY",
"postal_code": "820549611",
"telephone_number": "307-287-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 S CABOT RD",
"city": "CARPENTER",
"state": "WY",
"postal_code": "820549611",
"telephone_number": "307-287-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MISTY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "WY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carpenter, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.