Katherine Beth Medina – Case Manager/Care Coordinator

Key facts

NPI: 1306136049
Entity type: Individual (NPI type 1)
Primary specialty: Case Manager/Care Coordinator 171M00000X
Practice address: 331 Hunters Way
Apt a
Cheyenne, WY 82007-2380
Phone: (307) 214-4688
NPI assigned: Apr 14, 2011
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Bachelor of Science

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X			Yes

Addresses

Primary practice location

331 Hunters Way
Apt a
Cheyenne, WY 82007-2380

Mailing address

331 Hunters Way
Apt a
Cheyenne, WY 82007-2380
Phone (307) 214-4688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 14, 2011.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1306136049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 HUNTERS WAY",
            "address_2": "APT A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072380",
            "telephone_number": "307-214-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 HUNTERS WAY",
            "address_2": "APT A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072380",
            "telephone_number": "307-214-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "KATHERINE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL SCIENCE, B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

All providers in Cheyenne, WY · Case Manager/Care Coordinator in Wyoming

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.