Active NPI
Kimberley Faith Mingus
- Case Management Agency
- Powell, WY
National Provider Identifier
1356562292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 828 McIntosh Rd
Powell, WY 82435-9345 - Phone
- (307) 754-3331
- Fax
- (307) 754-2459
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X |
Addresses
Primary practice location
828 McIntosh Rd
Powell, WY 82435-9345
Mailing address
828 McIntosh Rd
Powell, WY 82435-9345
Phone (307) 754-3331
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1356562292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 MCINTOSH RD",
"city": "POWELL",
"state": "WY",
"postal_code": "824359345",
"telephone_number": "307-754-3331",
"fax_number": "307-754-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 MCINTOSH RD",
"city": "POWELL",
"state": "WY",
"postal_code": "824359345",
"telephone_number": "307-754-3331",
"fax_number": "307-754-2459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGUS",
"first_name": "KIMBERLEY",
"middle_name": "FAITH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.