Meadowlark Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MEADOWLARK PEDIATRICS, LLC

Practice address

1208 S River St
Saratoga, WY 82331-5204

Phone

(307) 314-4242

NPI assigned

Jul 13, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Deprince Smith, CPNP

Title

CPNP, Co-Owner

Phone

(307) 314-4242

Specialties & licenses 1

Addresses

Tax ID family

Meadowlark Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Meadowlark Pediatrics, LLC

  • Pediatrics Physician
  • Laramie, WY
  • NPI 1497339956
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth R. D. Smith, APRN

  • Pediatric Nurse Practitioner
  • Laramie, WY
  • NPI 1609921824
  NPD

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1194397851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST STE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705127",
            "telephone_number": "307-314-4242",
            "fax_number": "307-460-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S RIVER ST",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823315204",
            "telephone_number": "307-314-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 McCollum St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820705127",
            "country_code": "US",
            "telephone_number": "307-314-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEADOWLARK PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DEPRINCE",
        "authorized_official_title_or_position": "CPNP, CO-OWNER",
        "authorized_official_telephone_number": "307-314-4242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Asher Leach, ED.S, NSCP
• Local Therapy, LLC
• Jolena M Martin, PA-C
• Steven L Martin, PAC
• Mary Jo Greenwood LCSW
• Robyn Miller, PHARMACIES
• Angela Grace Oneil, B.S.
• Chelsie Pantle, M.S., CF-SLP
• Pathfinder Medical LLC (Saratoga Urgent Care)
• Sally E Patton

• Pediatrics Physician in Saratoga, WY
• Providers in Saratoga, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.