NPIMap

Organization Active NPI

On Target Clinical Case Management Services

  • Prevention Professional
  • Newcastle, WY
National Provider Identifier
1720685928
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
ON TARGET CLINICAL CASE MANAGEMENT SERVICES
Practice address
26 E Wentworth St
Newcastle, WY 82701-2237
Phone
(402) 459-0065
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Roxanna DyeNPI 1164923207
Title
Case Manager
Phone
(402) 459-0065

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
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

26 E Wentworth St
Newcastle, WY 82701-2237

Mailing address

26 E Wentworth St
Newcastle, WY 82701-2237
Phone (402) 459-0065

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1720685928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E WENTWORTH ST",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012237",
            "telephone_number": "402-459-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E WENTWORTH ST",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012237",
            "telephone_number": "402-459-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TARGET CLINICAL CASE MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "402-459-0065"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.