Active NPI
Lance Donavan Oldman
- Community Health Worker
- Arapahoe, WY
National Provider Identifier
1245684398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- #24 Great Plains Road
Arapahoe, WY 82510 - Phone
- (307) 856-0470
- Fax
- (307) 857-4383
- NPI assigned
- Apr 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
#24 Great Plains Road
Arapahoe, WY 82510
Mailing address
Post Office Box 190
St. Stephens, WY 82501
Phone (307) 856-0470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Buffalo Recovery Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Arapahoe, WY
- NPI 1902213093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1245684398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 190",
"city": "ST. STEPHENS",
"state": "WY",
"postal_code": "82501",
"telephone_number": "307-856-0470",
"fax_number": "307-857-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#24 GREAT PLAINS ROAD",
"city": "ARAPAHOE",
"state": "WY",
"postal_code": "82510",
"telephone_number": "307-856-0470",
"fax_number": "307-857-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDMAN",
"first_name": "LANCE",
"middle_name": "DONAVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-14",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arapahoe, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.