Tina Braetthomas, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

707 Sheridan Ave
Cody, WY 82414-3409

Phone

(307) 527-7561

NPI assigned

Jan 18, 2007

Last updated

Dec 2, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

82.54 of 100Reported as group

Quality

71.68

Promoting interoperability

100

Improvement activities

40

Cost

70.14

Medicare enrollment (NPD)

Enrolled

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.

• Powell Valley Health Care Inc

  • Critical Access Hospital
  • Powell, WY
  • NPI 1497753115
  Medicare reassignment NPD
• Powell Valley Healthcare Inc

  dba Powell Valley Clinic

  • Family Medicine Physician
  • Powell, WY
  • NPI 1699721316
  Medicare reassignment NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1255484945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-238-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAETTHOMAS",
        "first_name": "TINA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY BCBS PIN",
            "identifier": "312877",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adair M. Bowlby, MD
• Helen Claire Bowles, MS, LPC
• Penny Suzanne Boyles
• Rachael M. Bracke, M.D.
• Sierra Bradley
• Brandi R Shepard LLC (Cody Audiology Clinic)
• Catherine Brasher, RPH
• Roger E Brazelton
• Linda Brazney
• Breathe & Balance LLC

• Registered Dietitian in Cody, WY
• Providers in Cody, WY by specialty
• Registered Dietitian in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.