Crossroads Health LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

19472.0369 Issued in WY

Legal business name

CROSSROADS HEALTH LLC

Practice address

1842 Sugarland Dr
Suite 103
Sheridan, WY 82801-5775

Phone

(307) 751-0645

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Jo Wood Neeson, FNPNPI 1699827766

Title

Owner

Phone

(307) 751-0645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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

• Wendy J Wood Neeson, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Sheridan, WY
  • NPI 1699827766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1730636812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7221",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828017004",
            "telephone_number": "307-751-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SUGARLAND DR",
            "address_2": "SUITE 103",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015775",
            "telephone_number": "307-751-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "WOOD NEESON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-751-0645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WY",
            "license": "19472.0369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Primary Care Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.