Active NPI
Tanner Hoffman, ED.S, NCSP, ABSNP
- School Psychologist
- Cody, WY
National Provider Identifier
1245968858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PTSB
- Practice address
- 2901 Cougar Ave
Cody, WY 82414-8498 - Phone
- (307) 587-4273
- NPI assigned
- Aug 11, 2022
- Last updated
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PTSB | WY | Primary |
Addresses
Primary practice location
2901 Cougar Ave
Cody, WY 82414-8498
Mailing address
2901 Cougar Ave
Cody, WY 82414-8498
Phone (307) 587-4273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTSB | WY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1245968858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 COUGAR AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824148498",
"telephone_number": "307-587-4273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 COUGAR AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824148498",
"telephone_number": "307-587-4273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "TANNER",
"credential": "ED.S, NCSP, ABSNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WY",
"license": "PTSB",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
- Jaime Jean Hill, DDS
- Jeremy Wayne Hill, D.D.S.
- John P Hillshafer, CERTIFIED PEDORTHIST
- Laurie Dee Hipwell, ARNP
- Andrew John Hoene, M.D.
- Kellie Hollingsworth, M.A,, LMFT
- Hospitalist Medicine Physicians of Wyoming - Casper, LLC
- Connor Humphrey
- Steven Edward Humphries-Wadsworth, PH.D., LMFT
- Industrial Medical Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.