Active NPI
Kenneth A Shearer, MSW
- Case Manager/Care Coordinator
- Worland, WY
National Provider Identifier
1679698708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 401 S 23Rd St
Worland, WY 82401-3725 - Phone
- (307) 347-6165
- Fax
- (307) 347-6166
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
401 S 23Rd St
Worland, WY 82401-3725
Mailing address
401 S 23Rd St
Worland, WY 82401-3725
Phone (307) 347-6165
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106352907 | Medicaid | WY | |
| 106352908 | Medicaid | WY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1679698708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S 23RD ST",
"city": "WORLAND",
"state": "WY",
"postal_code": "824013725",
"telephone_number": "307-347-6165",
"fax_number": "307-347-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S 23RD ST",
"city": "WORLAND",
"state": "WY",
"postal_code": "824013725",
"telephone_number": "307-347-6165",
"fax_number": "307-347-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "KENNETH",
"middle_name": "A",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106352907",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106352908",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.