Active NPI
Angie Dee Mueller
- Community Health Worker
- Evanston, WY
National Provider Identifier
1619340502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1575 State Highway 150 S
Ste J
Evanston, WY 82930-5349 - Phone
- (307) 789-7915
- NPI assigned
- Nov 2, 2015
- Last updated
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1575 State Highway 150 S
Ste J
Evanston, WY 82930-5349
Mailing address
1575 State Highway 150 South
Ste J
Evanston, WY 82930-5307
Phone (307) 789-7915
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Counseling Services | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, WY
- NPI 1093792095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1619340502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 STATE HIGHWAY 150 SOUTH",
"address_2": "STE J",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305307",
"telephone_number": "307-789-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 STATE HIGHWAY 150 S",
"address_2": "STE J",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305349",
"telephone_number": "307-789-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "ANGIE",
"middle_name": "DEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
- Mountain Medicine LLC
- Mountain Regional Services, Inc
- Mountain Regional Services, Inc (Cornerstone Behavioral Health)
- Mountain Regional Services, Inc.
- Mountain Regional Services, Inc. (Cornerstone Behavioral Health)
- Steven Edward Muller, RPH
- Julia E Murray, MED
- My Hearing Centers, LLC
- Shantel Leanne Mysliwiec
- Rosa Navarro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.