Children 1St Pediatrics Associates of Wyoming, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDREN 1ST PEDIATRICS ASSOCIATES OF WYOMING, LLC

Practice address

732 W Collins Dr
Casper, WY 82601-2327

Phone

(307) 333-6940

Fax

(888) 964-2162

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Knudson-Johnson, MDNPI 1518124114

Title

Physician/Owner

Phone

(307) 333-3690

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Melissa M. Knudson-Johnson, M.D.

  • Internal Medicine Physician
  • Casper, WY
  • NPI 1518124114

  Pediatrics

  NPD Authorized official
• Robert Anthony Vigneri, MD

  • Pediatrics Physician
  • Casper, WY
  • NPI 1083704803
  NPD (past)

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1710684543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 W COLLINS DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012327",
            "telephone_number": "307-333-6940",
            "fax_number": "888-964-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 W COLLINS DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012327",
            "telephone_number": "307-333-6940",
            "fax_number": "888-964-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN 1ST PEDIATRICS ASSOCIATES OF WYOMING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "KNUDSON-JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "307-333-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518124114",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083704803",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherco Inc
• Eva Cheros, DPT
• Child & Family Counseling LLC
• Child Development Center of Natrona Co
• Child Development Center of Natrona Co
• Children 1St Pediatrics, LLC
• Children'S Advocacy Project Inc
• Children'S Hospital Colorado
• Children'S Hospital Colorado
• Childrens Place Counseling and Consultation LLC

• Pediatrics Physician in Casper, WY
• Providers in Casper, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.