Organization Active NPI

Hometown Health, LLC

  • Nurse Practitioner
  • Worland, WY
National Provider Identifier
1750239588
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HOMETOWN HEALTH, LLC
Practice address
733 Big Horn Ave # 1029
Worland, WY 82401-2605
Phone
(888) 504-4074
Fax
(307) 462-0662
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Keristyn Carrell, FNPNPI 1457396962
Title
Owner
Phone
(888) 504-4074

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

733 Big Horn Ave # 1029
Worland, WY 82401-2605

Mailing address

733 Big Horn Ave
Worland, WY 82401-2605
Phone (888) 504-4074

Other identifiers 1

IdentifierTypeStateIssuer
122922200MedicaidWY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2340381Hometown Health LLC733 Big Horn Ave, Worland, WY 82401Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

733 Big Horn Ave
#1029
Worland, WY 82401
Phone (888) 504-4074

733 Big Horn Ave
Worland, WY 82401

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": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1750239588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 BIG HORN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012605",
            "telephone_number": "888-504-4074",
            "fax_number": "307-462-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 BIG HORN AVE # 1029",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824012605",
            "telephone_number": "888-504-4074",
            "fax_number": "307-462-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "CARRELL",
        "authorized_official_first_name": "KERISTYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-504-4074",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122922200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.