Active NPI
Lanae Deann Pickard, OTR/L,CHT
- Occupational Therapist
- Casper, WY
National Provider Identifier
1689600892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 031
- Practice address
- 428 S Durbin St
Ste 104
Casper, WY 82601-2829 - Phone
- (307) 472-5622
- Fax
- (307) 472-5626
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 031 | WY | Primary |
Addresses
Primary practice location
428 S Durbin St
Ste 104
Casper, WY 82601-2829
Mailing address
428 S Durbin St
Ste 104
Casper, WY 82601-2829
Phone (307) 472-5622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312180 | Other | WY | BLUE CROSS BLUE SHIELD 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casper Cardiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Casper, WY
- NPI 1447627492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1689600892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 S DURBIN ST",
"address_2": "STE 104",
"city": "CASPER",
"state": "WY",
"postal_code": "826012829",
"telephone_number": "307-472-5622",
"fax_number": "307-472-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 S DURBIN ST",
"address_2": "STE 104",
"city": "CASPER",
"state": "WY",
"postal_code": "826012829",
"telephone_number": "307-472-5622",
"fax_number": "307-472-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKARD",
"first_name": "LANAE",
"middle_name": "DEANN",
"credential": "OTR/L,CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD WY",
"identifier": "312180",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.