Wyoming Neurology P.C.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

159020190 Issued in WY

Legal business name

WYOMING NEUROLOGY P.C.

Practice address

2301 House Ave
Ste 203
Cheyenne, WY 82001-3176

Phone

(307) 432-0335

Fax

(307) 432-0341

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Tracy J Farris, FNP

Title

FNP

Phone

(307) 432-0335

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1235282120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "STE 203",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013176",
            "telephone_number": "307-432-0335",
            "fax_number": "307-432-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "STE 203",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013176",
            "telephone_number": "307-432-0335",
            "fax_number": "307-432-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING NEUROLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "307-432-0335",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WY",
            "license": "159020190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1156560 01",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyoming Endoscopy Center LLC
• Wyoming Hearing Clinic, LLC
• Wyoming Home Care
• Wyoming Medical Specialists PC
• Wyoming Medication Donation Program
• Wyoming Neurology PC
• Wyoming Neuromonitoring, LLC
• Wyoming Neuromonitoring, LLC
• Wyoming Orthopedic and Sports Medicine, LLC
• Wyoming Pace

• Adult Health Nurse Practitioner in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Adult Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.