Individual provider Active NPI

Ann Adair Essary Flynt, CNM, FNP-C

  • Family Nurse Practitioner
  • Jackson, WY
National Provider Identifier
1467971010
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39844.1664 Issued in WY
Practice address
250 Scott LN Ste 105
Jackson, WY 83001-8060
Phone
(307) 323-3426
Fax
(307) 218-7368
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 39844 WY
Family Nurse Practitioner 363LF0000X NP95016943 CA
Advanced Practice Midwife 367A00000X 39844.1664 WY
Family Nurse Practitioner 363LF0000X 39844.1664 WY Primary

Addresses

Primary practice location

250 Scott LN Ste 105
Jackson, WY 83001-8060

Mailing address

PO Box 7016
Jackson, WY 83002-7016
Phone (307) 323-3426

Other practice location 1

460 E Pearl Ave
Jackson, WY 83001-8410
Phone (307) 733-6401

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
39844WYMDRegistered Nurse
NP95016943CAMDFamily Nurse Practitioner
39844.1664WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Teton CurrentSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1467971010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7016",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830027016",
            "telephone_number": "307-323-3426",
            "fax_number": "307-218-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SCOTT LN STE 105",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018060",
            "telephone_number": "307-323-3426",
            "fax_number": "307-218-7368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 E Pearl Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018410",
            "country_code": "US",
            "telephone_number": "307-733-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNT",
        "first_name": "ANN",
        "middle_name": "ADAIR ESSARY",
        "credential": "CNM, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "39844",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95016943",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WY",
            "license": "39844.1664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "39844.1664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.