Mary Jean Medina

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MARY JEAN MEDINA

Doing business as

Abilities Unlimited

Practice address

221 Main St.
Lingle, WY 82223-0363

Phone

(307) 837-2155

Fax

(978) 285-0404

NPI assigned

Feb 5, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Jean Medina

Title

Administrator

Phone

(307) 837-2155

Specialties & licenses 1

Addresses

Other names 1

• Abilities Unlimited Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1346389822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "LINGLE",
            "state": "WY",
            "postal_code": "822230363",
            "telephone_number": "307-837-2155",
            "fax_number": "978-285-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAIN ST.",
            "city": "LINGLE",
            "state": "WY",
            "postal_code": "822230363",
            "telephone_number": "307-837-2155",
            "fax_number": "978-285-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JEAN MEDINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-837-2155"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abilities Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila E. Bever
• Jennifer Boxberger, FNP-BC
• Aubrey Bremer, RN, MSN, HACP
• Jessica Marie Ostrander, DC
• Jennifer Peterson
• Mandie Lea Scott
• Town of Lingle (Lingle Fire Department)
• Wellness Wagon

• Developmentally Disabled Services Day Training Agency in Lingle, WY
• Providers in Lingle, WY by specialty
• Developmentally Disabled Services Day Training Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.