NPIMap

Individual provider Active NPI

Tabitha Lucynda Thrasher, D,O.

  • Family Medicine Physician
  • Casper, WY
National Provider Identifier
1619230711
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9713A Issued in WY
Practice address
1522 E a St
Casper, WY 82601-2217
Phone
(307) 234-6161
Fax
(307) 234-7032
NPI assigned
Jun 22, 2012
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9713A WY Primary
Family Medicine Physician 207Q00000X DO172351 OR

Addresses

Primary practice location

1522 E a St
Casper, WY 82601-2217

Mailing address

1522 E a St
Casper, WY 82601-2217
Phone (307) 234-6161

Other names 1

  • Tabitha Lucynda Campbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411002489 WY Practitioner - Family Practice 7315161619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of WyomingGroup PAC ID 4183607054, 40 clinicians

Practice addresses (Care Compare)

1522 E a St
Casper, WY 82601-2217
Phone (307) 431-5055

820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 431-5055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO172351ORMDFamily Medicine Physician
9713AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Speech and Hearing Clinic CurrentSince Apr 2, 2018 Accepting new patients
University of Wyoming Family Medicine CurrentSince Apr 2, 2018 Accepting new patients
University of Wyoming Family Medicine Current Accepting new patients
Wyoming Medical Center Inc Past Accepting new patients
Casper Operations, LLC Past Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

1522 E A St
Casper, WY 82601
Phone (307) 233-6000

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

2710 Harney St
Ste 202
Laramie, WY 82072
Phone (307) 742-3242

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
  • Direct secure messaging: tabitha.thrasher.1@30244.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1619230711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012217",
            "telephone_number": "307-234-6161",
            "fax_number": "307-234-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012217",
            "telephone_number": "307-234-6161",
            "fax_number": "307-234-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASHER",
        "first_name": "TABITHA",
        "middle_name": "LUCYNDA",
        "name_prefix": "Dr.",
        "credential": "D,O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9713A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO172351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "CAMPBELL",
            "middle_name": "LUCYNDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.