Shondra M Rasmussen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-148355 Issued in WY

Practice address

3800 Sunset Dr SPC 30
Rock Springs, WY 82901-6902

Phone

(307) 679-1969

NPI assigned

Jul 21, 2020

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1306454764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SUNSET DR SPC 30",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016902",
            "telephone_number": "307-679-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SUNSET DR SPC 30",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016902",
            "telephone_number": "307-679-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "SHONDRA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WY",
            "license": "RBT-20-148355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-20-148355",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramsey Eye Care Center, P.C.
• Coby Shane Ramsey, O.D.
• Randall B. Rice, MD PC
• Darrell Rasdall
• Chandra Rasmussen
• Jamie Razzaia
• Angela Reece
• Dawn Marie Reichl
• Joanne Elaine Reints, LPC, NCC, MS, ED SP
• Phillip L Reints Jr.

• Behavior Technician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Behavior Technician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.