Jacy Kruckenberg

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

1900 E 22ND St
Cheyenne, WY 82001-4143

Phone

(307) 421-2679

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1437062379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E 22ND ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014143",
            "telephone_number": "307-421-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E 22ND ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014143",
            "telephone_number": "307-421-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUCKENBERG",
        "first_name": "JACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Krempels, PTA
• Alton John Krenzelok
• Mary Kay Krivy, D.D.S.
• Nancy Kay Krois
• Amanda M Krov, PTA
• Ashley Nicole Krug, BSW, CSW
• Mary Charlotte Krul
• Kimberly Krumm
• Samer Ksaibati, RN
• Michael Pete Kuhn, M.D.

• Developmentally Disabled Services Day Training Agency in Cheyenne, WY
• Providers in Cheyenne, 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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.