Amy M. Rabon, CNM,M.S.

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

22464.343 Issued in WY

Practice address

110 S Gould St
Sheridan, WY 82801-6321

Phone

(307) 763-8701

Fax

(307) 224-2293

NPI assigned

Jul 14, 2006

Last updated

Feb 15, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sisterhood Sanctuary, LLC

  • Clinic/Center
  • Sheridan, WY
  • NPI 1679043756
  NPD Authorized official
• Alan E Smith Jr MD PC

  • Anesthesiology Physician
  • Sheridan, WY
  • NPI 1487793030
  NPD (past)
• Sheridan Podiatry LLC

  • Foot & Ankle Surgery Podiatrist
  • Sheridan, WY
  • NPI 1871429043
  NPD (past)
• Sisterhood Sanctuary LLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Sheridan, WY
  • NPI 1790649168
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1215953385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5087",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828011387",
            "telephone_number": "307-763-8701",
            "fax_number": "307-224-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016321",
            "telephone_number": "307-763-8701",
            "fax_number": "307-224-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABON",
        "first_name": "AMY",
        "middle_name": "M.",
        "credential": "CNM,M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WY",
            "license": "22464.343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karis Amelia Prusak, ATC, LAT
• Mackenzie Heather Puckett
• Joey L Puettman
• Anthony B Quinn, M.D.
• Harold Quist Jr., DDS
• Steve E Rabon, D.P.M.
• Krystal Marie Raley, MA, LPC
• Jorge I Ramirez, M.D.
• Tiffany Ramos, FDNP, CHHP
• Jamie Alex Ramsay, MD

• Obstetrics & Gynecology Nurse Practitioner in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Obstetrics & Gynecology Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.