Individual provider Active NPI

Danial Jonathan Greathouse, FNP

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1558070136
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
49897 Issued in WY
Practice address
1950 Bluegrass Cir Ste 100
Cheyenne, WY 82009-7363
Phone
(307) 640-0783
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 49897 WY Primary

Addresses

Primary practice location

1950 Bluegrass Cir Ste 100
Cheyenne, WY 82009-7363

Mailing address

1950 Bluegrass Cir Ste 100
Cheyenne, WY 82009-7363
Phone (307) 640-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011002141 WY Practitioner - Nurse Practitioner 3072045319 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Diagnostics Corp CurrentSince Oct 1, 2024 Accepting new patients

Locations

10101 Fondren Rd
Ste 112
Houston, TX 77096
Phone (281) 912-3264

1851 Big Horn Ave
Sheridan, WY 82801
Phone (307) 674-4416

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1558070136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEGRASS CIR STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097363",
            "telephone_number": "307-640-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEGRASS CIR STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097363",
            "telephone_number": "307-640-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "DANIAL",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "49897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.