Meadowlark Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MEADOWLARK PEDIATRICS, LLC

Practice address

204 McCollum St Ste 203
Laramie, WY 82070-5127

Phone

(307) 314-4242

Fax

(307) 460-3331

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Smith, CPNPNPI 1609921824

Title

Co-Owner/CPNP

Phone

(307) 314-4242

Specialties & licenses 1

Addresses

Tax ID family

Meadowlark Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Meadowlark Pediatrics, LLC

  • Pediatrics Physician
  • Saratoga, WY
  • NPI 1194397851
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth R. D. Smith, APRN

  • Pediatric Nurse Practitioner
  • Laramie, WY
  • NPI 1609921824
  NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1497339956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST STE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705127",
            "telephone_number": "307-314-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST STE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705127",
            "telephone_number": "307-314-4242",
            "fax_number": "307-460-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-OWNER/CPNP",
        "authorized_official_telephone_number": "307-314-4242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa McLaughlin
• Jaramie McLean
• Benjamin McNair
• John Richard McPherson, DDS
• Tempe McStay
• Kortney Medina, PT, DPT
• Landyn Medina
• Allyson Medor
• Chase Matthew Meduna
• Linda Ann Meeker, PH.D.

• Pediatrics Physician in Laramie, WY
• Providers in Laramie, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.