Organization Active NPI

Sisterhood Sanctuary, LLC

  • Clinic/Center
  • Sheridan, WY
National Provider Identifier
1679043756
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SISTERHOOD SANCTUARY, LLC
Practice address
1842 Sugarland Dr
Sheridan, WY 82801-5775
Phone
(307) 763-8701
Fax
(307) 224-2293
NPI assigned
Nov 30, 2018
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Amy M. Rabon, NP/CNMNPI 1215953385
Title
Owner
Phone
(307) 763-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1842 Sugarland Dr
Sheridan, WY 82801-5775

Mailing address

PO Box 5087
Sheridan, WY 82801-1387
Phone (307) 763-8701

National Provider Directory

National Provider Directory

Locations

110 S Gould St
Sheridan, WY 82801
Phone (307) 673-8701

Practitioners & affiliated clinicians

Practitioners 9

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": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1679043756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5087",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828011387",
            "telephone_number": "307-763-8701",
            "fax_number": "307-224-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015775",
            "telephone_number": "307-763-8701",
            "fax_number": "307-224-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERHOOD SANCTUARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "RABON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-763-8701",
        "authorized_official_credential": "NP/CNM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.