Individual provider Active NPI

Alyssa Jo Whitlock

  • Nurse Practitioner
  • Cody, WY
National Provider Identifier
1184587925
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
43660 Issued in WY
Practice address
424 Yellowstone Ave Ste 330
Cody, WY 82414-8917
Phone
(307) 578-2770
NPI assigned
Dec 8, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 43660 WY Primary
Women's Health Nurse Practitioner 363LW0102X 43660 WY
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 43660 WY

Addresses

Primary practice location

424 Yellowstone Ave Ste 330
Cody, WY 82414-8917

Mailing address

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Other practice location 1

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Other practice location 2

525 N 5th St
Basin, WY 82410
Phone (307) 586-3700

Other practice location 3

424 Yellowstone Ave Ste 120
Cody, WY 82414-9311
Phone (307) 578-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219004014 WY Practitioner - Nurse Practitioner 4284129859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

424 Yellowstone Ave
Cody, WY 82414-9309
Phone (307) 527-7501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
43660WYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cody Regional Health EMS CurrentSince Dec 11, 2025 Accepting new patients
West Park Hospital District CurrentSince Dec 11, 2025 Accepting new patients
West Park Hospital District CurrentSince Dec 11, 2025 Accepting new patients
West Park Hospital District Past Accepting new patients

Locations

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Ste 330
Cody, WY 82414
Phone (307) 578-2770

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1184587925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501",
            "fax_number": "307-578-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE STE 330",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148917",
            "telephone_number": "307-578-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Sheridan Ave",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "824143409",
            "country_code": "US",
            "telephone_number": "307-527-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Basin",
            "state": "WY",
            "postal_code": "82410",
            "country_code": "US",
            "telephone_number": "307-586-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Yellowstone Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "824149311",
            "country_code": "US",
            "telephone_number": "307-578-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "ALYSSA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "43660",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WY",
            "license": "43660",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WY",
            "license": "43660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.