Organization Active NPI

Sheridan Family Practice, P.C.

  • Family Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1154420768
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15246.316 Issued in WY
Legal business name
SHERIDAN FAMILY PRACTICE, P.C.
Practice address
1435 Burton St
Sheridan, WY 82801-2723
Phone
(307) 672-0763
Fax
(307) 672-0766
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Susan J Snyder, D.O.NPI 1194856542
Title
Owner
Phone
(307) 672-0763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 4286A WY
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 15246.316 WY Primary

Addresses

Primary practice location

1435 Burton St
Sheridan, WY 82801-2723

Mailing address

1435 Burton St
Sheridan, WY 82801-2723
Phone (307) 672-0763

Other identifiers 3

IdentifierTypeStateIssuer
305501OtherWYBCBS
313086OtherWYBCBS
1201867001MedicaidWY

National Provider Directory

National Provider Directory

Locations

1435 Burton St
Sheridan, WY 82801
Phone (307) 672-0763

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154420768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 BURTON ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012723",
            "telephone_number": "307-672-0763",
            "fax_number": "307-672-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 BURTON ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012723",
            "telephone_number": "307-672-0763",
            "fax_number": "307-672-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-672-0763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "4286A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "15246.316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "305501",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "313086",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201867001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.