Individual provider Active NPI

Catherine Rahm Coudray, LIC AP DILP. AC OMD.

  • Acupuncturist
  • Laramie, WY
National Provider Identifier
1649410580
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP32 Issued in WY
Practice address
2900 E Grand Ave Unit 7
Laramie, WY 82070-5268
Phone
(321) 303-5240
Fax
(321) 244-0453
NPI assigned
Mar 5, 2009
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP32 WY Primary

Addresses

Primary practice location

2900 E Grand Ave Unit 7
Laramie, WY 82070-5268

Mailing address

2900 E Grand Ave Unit 7
Laramie, WY 82070-5268
Phone (321) 303-5240

Other identifiers 2

IdentifierTypeStateIssuer
AP32OtherWYACUPUNCTURE LIC
1649410580OtherWYCOMMERCIAL

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
AP32WYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Coudray Acupuncture LLC Acupuncturist CurrentSince Apr 21, 2024 Accepting new patients

Locations

2900 E Grand Ave
Unit 7
Laramie, WY 82070
Phone (321) 303-5240

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.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1649410580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E GRAND AVE UNIT 7",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705268",
            "telephone_number": "321-303-5240",
            "fax_number": "321-244-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E GRAND AVE UNIT 7",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705268",
            "telephone_number": "321-303-5240",
            "fax_number": "321-244-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUDRAY",
        "first_name": "CATHERINE",
        "middle_name": "RAHM",
        "name_prefix": "Dr.",
        "credential": "LIC AP DILP. AC OMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WY",
            "license": "AP32",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LIC",
            "identifier": "AP32",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1649410580",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.