Active NPI
Stacie Rayl
- Developmentally Disabled Services Day Training Agency
- Cheyenne, WY
National Provider Identifier
1477915536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 4602 E 10TH St
Cheyenne, WY 82001-6704 - Phone
- (320) 761-9246
- NPI assigned
- Mar 27, 2016
- 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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
4602 E 10TH St
Cheyenne, WY 82001-6704
Mailing address
4602 E 10TH St
Cheyenne, WY 82001-6704
Phone (320) 761-9246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251C00000X | Medicaid | WY |
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": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1477915536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 E 10TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820016704",
"telephone_number": "320-761-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 E 10TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820016704",
"telephone_number": "320-761-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYL",
"first_name": "STACIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251C00000X",
"state": "WY"
}
],
"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 May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.