Lynn Custis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3322 Strahan Pkwy
Sheridan, WY 82801-9162

Phone

(307) 672-2044

Fax

(307) 426-4740

NPI assigned

Jul 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lynn Bopp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/

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.

• Big Horn Health Network

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688
  NPD
• Sheridan Memorial Sameday Health & Imaging Urgent Care

  • Urgent Care Clinic/Center
  • Sheridan, WY
  • NPI 1124764915
  NPD

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1164304655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 STRAHAN PKWY",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019162",
            "telephone_number": "307-672-2044",
            "fax_number": "307-426-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 STRAHAN PKWY",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019162",
            "telephone_number": "307-672-2044",
            "fax_number": "307-426-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTIS",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BOPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dontae Crow
• Cassidy Crowder
• Leilani Ray Cullen, MA LMFT
• Jeremiah Cummings, RPSGT
• Curexa LLC
• Teresa D Dalton
• Cie A. Daniels, LPN
• Jaylene Elizabeth Daugherty, RD
• Margarita Davenport, D.N.PSY
• Brooke Nichole Dawe

• Community Health Worker in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.