Individual provider Active NPI

Tanyon Keller

  • Health & Wellness Coach
  • Sheridan, WY
National Provider Identifier
1598629024
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1842 Sugarland Dr Ste 101
101
Sheridan, WY 82801-5719
Phone
(307) 763-8701
NPI assigned
Dec 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary
Nurse's Aide 376K00000X 52256 WY

Addresses

Primary practice location

1842 Sugarland Dr Ste 101
101
Sheridan, WY 82801-5719

Mailing address

PO Box 5087
Sheridan, WY 82801-1387
Phone (307) 763-8701

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

State licenses

LicenseStateTypeSpecialty
52256WYMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Sisterhood Sanctuary LLC CurrentSince Dec 14, 2025 Accepting new patients
Sisterhood Sanctuary, LLC PastSince Dec 14, 2025 Accepting new patients

Locations

1842 Sugarland Dr
Ste 101
Sheridan, WY 82801
Phone (307) 673-4960

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1598629024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5087",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828011387",
            "telephone_number": "307-763-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SUGARLAND DR STE 101",
            "address_2": "101",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015719",
            "telephone_number": "307-763-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TANYON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WY",
            "license": "52256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.