Individual provider Active NPI

Angela Jones, M.S. CAP

  • Case Manager/Care Coordinator
  • Cheyenne, WY
National Provider Identifier
1306139688
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2526 Seymour Ave
Cheyenne, WY 82001-3230
Phone
(307) 634-9653
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X PAT-062 WY
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2526 Seymour Ave
Cheyenne, WY 82001-3230

Mailing address

510 W 29TH St
Cheyenne, WY 82001-2760
Phone (307) 426-4728

Other practice location 1

1208 E Pershing Blvd
Cheyenne, WY 82001-3230
Phone (307) 220-3901

Other names 1

  • Angela Holman Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PAT-062WYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1306139688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 29TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012760",
            "telephone_number": "307-426-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013230",
            "telephone_number": "307-634-9653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 E Pershing Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820013230",
            "country_code": "US",
            "telephone_number": "307-220-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELA",
        "credential": "M.S. CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "PAT-062",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HOLMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.