Organization Active NPI

Individual Career Transitions, LLC

  • Local Education Agency (LEA)
  • Cheyenne, WY
National Provider Identifier
1396360442
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
INDIVIDUAL CAREER TRANSITIONS, LLC
Practice address
1712 Pioneer Ave Ste 2492
Cheyenne, WY 82001-4406
Phone
(206) 713-6255
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
David Jordan
Title
Owner
Phone
(206) 713-6255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1712 Pioneer Ave Ste 2492
Cheyenne, WY 82001-4406

Mailing address

1712 Pioneer Ave Ste 2492
Cheyenne, WY 82001-4406
Phone (206) 713-6255

National Provider Directory

National Provider Directory

Locations

1712 Pioneer Ave
Ste 2492
Cheyenne, WY 82001
Phone (206) 713-6255

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1396360442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE STE 2492",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014406",
            "telephone_number": "206-713-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE STE 2492",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014406",
            "telephone_number": "206-713-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL CAREER TRANSITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-6255"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 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.