NPIMap

Organization Active NPI

Child Development Services of Fremont County, Inc.

  • Clinic/Center
  • Lander, WY
National Provider Identifier
1639389281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILD DEVELOPMENT SERVICES OF FREMONT COUNTY, INC.
Practice address
100 Push Root CT
Lander, WY 82520-3460
Phone
(307) 332-5508
Fax
(307) 332-7972
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Brenda J Leonardi
Title
Business Manager
Phone
(307) 332-5508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WY Primary

Addresses

Primary practice location

100 Push Root CT
Lander, WY 82520-3460

Mailing address

100 Push Root CT
Lander, WY 82520-3460
Phone (307) 332-5508

National Provider Directory

National Provider Directory

Locations

100 Push Root Ct
Lander, WY 82520
Phone (307) 332-5508

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639389281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PUSH ROOT CT",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203460",
            "telephone_number": "307-332-5508",
            "fax_number": "307-332-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PUSH ROOT CT",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203460",
            "telephone_number": "307-332-5508",
            "fax_number": "307-332-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT SERVICES OF FREMONT COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONARDI",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "307-332-5508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.