NPIMap

Individual provider Active NPI

Rebecca Logsdon-Dougherty

  • Case Manager/Care Coordinator
  • Cheyenne, WY
National Provider Identifier
1760869572
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3001 Henderson Dr Ste N
Cheyenne, WY 82001-5840
Phone
(307) 632-7993
Fax
(307) 632-1330
NPI assigned
Apr 30, 2015
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3001 Henderson Dr Ste N
Cheyenne, WY 82001-5840

Mailing address

809 S 9TH St
Douglas, WY 82633-2959
Phone (307) 632-7993

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifenet Past Accepting new patients
Lifenet Past Accepting new patients
Lifenet Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1760869572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S 9TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332959",
            "telephone_number": "307-632-7993",
            "fax_number": "307-632-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HENDERSON DR STE N",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015840",
            "telephone_number": "307-632-7993",
            "fax_number": "307-632-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON-DOUGHERTY",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.