Active NPI
Symmetry Health
- Family Medicine Physician
- Jackson, WY
National Provider Identifier
1629973573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SYMMETRY HEALTH
- Practice address
- 320 E Broadway Ave Ste 1C
Jackson, WY 83001-8636 - Phone
- (541) 261-4748
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kim Ann Mellick, FNP-BC
- Title
- Founder
- Phone
- (541) 261-4748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
320 E Broadway Ave Ste 1C
Jackson, WY 83001-8636
Mailing address
PO Box 4358
Jackson, WY 83001-4358
Phone (541) 261-4748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1629973573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4358",
"city": "JACKSON",
"state": "WY",
"postal_code": "830014358",
"telephone_number": "541-261-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E BROADWAY AVE STE 1C",
"city": "JACKSON",
"state": "WY",
"postal_code": "830018636",
"telephone_number": "541-261-4748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMMETRY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-11",
"status": "A",
"authorized_official_last_name": "MELLICK",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "541-261-4748",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.