Organization Active NPI

Unto L.L.C.

  • Family Medicine Physician
  • Sheridan, WY
National Provider Identifier
1477265544
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNTO L.L.C.
Practice address
395 Harvey LN
Sheridan, WY 82801-9129
Phone
(307) 680-3761
Fax
(307) 429-5654
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Michelle Renee Parker, APRN-FNP-BCNPI 1043927254
Title
Provider
Phone
(307) 680-3761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

395 Harvey LN
Sheridan, WY 82801-9129

Mailing address

1590 Sugarland Dr # 161
Sheridan, WY 82801-5776
Phone (307) 752-0221

Other names 1

  • unTo L.L.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230317000296 WY Part B Supplier - Clinic/Group Practice 8820462609 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

407 S Medical Arts Ct
Gillette, WY 82716
Phone (307) 680-3761

1590 Sugarland Dr
#161
Sheridan, WY 82801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1477265544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 SUGARLAND DR # 161",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015776",
            "telephone_number": "307-752-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HARVEY LN",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019129",
            "telephone_number": "307-680-3761",
            "fax_number": "307-429-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTO L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "307-680-3761",
        "authorized_official_credential": "APRN-FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "unTo L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.