Active NPI
Rudelle A Toman, D.C.
- Chiropractor
- Jackson, WY
National Provider Identifier
1760630800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 591
- Practice address
- 242 E. Broadway Ave.
Jackson, WY 83001 - Phone
- (307) 733-7765
- NPI assigned
- Sep 3, 2008
- Last updated
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 591 | WY | Primary |
Addresses
Primary practice location
242 E. Broadway Ave.
Jackson, WY 83001
Mailing address
PO Box 11056
Jackson, WY 83002-1056
Phone (307) 733-7765
Other names 1
- Dr. Rudelle Gillingwators
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1760630800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11056",
"city": "JACKSON",
"state": "WY",
"postal_code": "830021056",
"telephone_number": "307-733-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 E. BROADWAY AVE.",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-733-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMAN",
"first_name": "RUDELLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUDELLE",
"last_name": "GILLINGWATORS",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.