NPIMap

Organization Active NPI

Rocky Mountain Neurodiagnostics, LLC

  • Clinical Neurophysiology Physician
  • Cheyenne, WY
National Provider Identifier
1659640381
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
ROCKY MOUNTAIN NEURODIAGNOSTICS, LLC
Practice address
1908 Thomes Ave Ste 12550
Cheyenne, WY 82001-3527
Phone
(303) 776-5298
Fax
(303) 682-2785
NPI assigned
Dec 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Kia Churchwell
Title
Payer Credentialing Specialist
Phone
(615) 933-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

1908 Thomes Ave Ste 12550
Cheyenne, WY 82001-3527

Mailing address

1908 Thomes Ave Ste 12550
Cheyenne, WY 82001-3527
Phone (303) 776-5298

Other practice location 1

13377 Travertine Ln
Reno, NV 89511-5946
Phone (303) 776-5298

Other practice location 2

16 Westridge Dr
Asheville, NC 28803-3329
Phone (303) 776-5298

Other practice location 3

7500 Oasis Dr
Castle Rock, CO 80108-8588
Phone (303) 776-5298

Other practice location 4

27 Catalina Vista Rd
Ladera Ranch, CA 92694-1570
Phone (303) 776-5298

Other practice location 5

827 22nd St
Santa Monica, CA 90403-2008
Phone (303) 776-5298

Other practice location 6

4562 Bellaire Blvd
Bellaire, TX 77401-4228
Phone (615) 933-0792

Other practice location 7

2358 Maroneal St
Houston, TX 77030-3218
Phone (303) 776-5298

Other practice location 8

2630 I St
Sacramento, CA 95816-4308
Phone (303) 776-5298

Other practice location 9

1694 Waterglen Dr
West Chester, PA 19382-6900
Phone (303) 776-5298

Other names 1

  • Rocky Mountain Neurodiagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, PA, NV, CA, NC6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20190430000984 CO Part B Supplier - Clinic/Group Practice 2860734597 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO
O20230919003551 TX Part B Supplier - Clinic/Group Practice 2860734597 Receives reassigned benefits from 2 practitioners
Practice locations: Bellaire, TX; Houston, TX
O20240104000022 PA Part B Supplier - Clinic/Group Practice 2860734597 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, PA
O20240207000436 NV Part B Supplier - Clinic/Group Practice 2860734597 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20240216003213 CA Part B Supplier - Clinic/Group Practice 2860734597 Receives reassigned benefits from 3 practitioners
Practice locations: Ladera Ranch, CA; Santa Monica, CA; Sacramento, CA
O20250425001139 NC Part B Supplier - Clinic/Group Practice 2860734597 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

1908 Thomes Ave
Ste 12550
Cheyenne, WY 82001

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1659640381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 THOMES AVE STE 12550",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013527",
            "telephone_number": "303-776-5298",
            "fax_number": "303-682-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 THOMES AVE STE 12550",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013527",
            "telephone_number": "303-776-5298",
            "fax_number": "303-682-2785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13377 Travertine Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895115946",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Westridge Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033329",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Oasis Dr",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801088588",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Catalina Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926941570",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 22nd St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904032008",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4562 Bellaire Blvd",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014228",
            "country_code": "US",
            "telephone_number": "615-933-0792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2358 Maroneal St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303218",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2630 I St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958164308",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1694 Waterglen Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193826900",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "CHURCHWELL",
        "authorized_official_first_name": "KIA",
        "authorized_official_title_or_position": "PAYER CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-933-0792"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Neurodiagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.