Active NPI
Naturally Beautiful You
- Women's Health Nurse Practitioner
- Casper, WY
National Provider Identifier
1487280418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- NATURALLY BEAUTIFUL YOU
- Practice address
- 4510 E 22ND St
Casper, WY 82609-4659 - Phone
- (307) 359-2900
- Fax
- (307) 234-6708
- NPI assigned
- Mar 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline Retherford, APRN
- Title
- NP
- Phone
- (307) 359-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | Primary |
Addresses
Primary practice location
4510 E 22ND St
Casper, WY 82609-4659
Mailing address
4510 E 22ND St
Casper, WY 82609-4659
Phone (307) 359-2900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584748800000",
"number": "1487280418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 E 22ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094659",
"telephone_number": "307-359-2900",
"fax_number": "307-234-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 E 22ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094659",
"telephone_number": "307-359-2900",
"fax_number": "307-234-6708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURALLY BEAUTIFUL YOU",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-21",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A",
"authorized_official_last_name": "RETHERFORD",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "307-359-2900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.