Organization Active NPI

Patricia Ruth Nesbit

Doing business as Patricia R. Nesbit

  • Addiction (Substance Use Disorder) Counselor
  • Gillette, WY
National Provider Identifier
1730608910
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LAT-321 Issued in WY
Legal business name
PATRICIA RUTH NESBIT
Doing business as
Patricia R. Nesbit
Practice address
601 S Gillette Ave
Gillette, WY 82716-4205
Phone
(307) 685-8182
NPI assigned
Sep 19, 2017
Last updated
Sep 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Authorized official

Name
Dan Nesbit, OFFICE MANAGER
Title
Owner
Phone
(307) 685-8182

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAT-321 WY Primary
Professional Counselor 101YP2500X LPC-1146 WY

Addresses

Primary practice location

601 S Gillette Ave
Gillette, WY 82716-4205

Mailing address

601 S Gillette Ave
Gillette, WY 82716-4205

Other identifiers 2

IdentifierTypeStateIssuer
137750700MedicaidWY
1295052140OtherWYNPI

Other names 1

  • Patricia R. Nesbit Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1730608910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S GILLETTE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GILLETTE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164205",
            "telephone_number": "307-685-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA RUTH NESBIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "NESBIT",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-685-8182",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LAT-321",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137750700",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295052140",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia R. Nesbit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.