Donna K Prevett, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-295 Issued in WY

Practice address

177 N 3Rd St
Lander, WY 82520-2808

Phone

(307) 332-7825

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sinks Canyon Therapies IncGroup PAC ID 6800022716, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Sinks Canyon Therapies Inc

  • Physical Therapist
  • Lander, WY
  • NPI 1982944153

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Osback Pharmaceuticals Inc

  • Community/Retail Pharmacy
  • Lander, WY
  • NPI 1851462295
  NPD (past)
• Sinks Canyon Therapies Inc

  • Occupational Therapist
  • Lander, WY
  • NPI 1891828752
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1578619458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 STATE HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825209483",
            "telephone_number": "307-349-2968",
            "fax_number": "307-332-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N 3RD ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202808",
            "telephone_number": "307-332-7825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Great Plains Road",
            "address_purpose": "LOCATION",
            "city": "Arapahoe",
            "state": "WY",
            "postal_code": "825100014",
            "country_code": "US",
            "telephone_number": "307-856-9281",
            "fax_number": "307-463-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVETT",
        "first_name": "DONNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122901000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Polson, MS, LPC, NBCC
• Popo Agie Women'S Clinic, Inc
• Cheryl C Portwood, M.D.
• Julian Poush
• Kimberly Ann Preletz, LCSW
• Michael W Pryor, M.D.
• Katherine Quayle, DPT
• Carol Lee Quillen, P.A.-C.
• Deirdre Danette Rainer, PH.D.
• Thomas Rangitsch, M.D.

• Speech-Language Pathologist in Lander, WY
• Providers in Lander, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.