Jennifer Bellis
Individual provider Active NPI Community Health Worker · Cheyenne, WY
NPI 1760899520 · NPPES record last updated Jul 14, 2014
Key facts
- NPI
- 1760899520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1517 Converse Ave
Cheyenne, WY 82001-5301 - Phone
- (307) 631-3438
- Fax
- (307) 635-3965
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | WY | Yes |
Addresses
Primary practice location
1517 Converse Ave
Cheyenne, WY 82001-5301
Mailing address
1517 Converse Ave
Cheyenne, WY 82001-5301
Phone (307) 631-3438
Other providers in Cheyenne, WY
- Breanne Renee Bell
- Pamela Renee Bell
- Theresa Elizabeth Bell
- Alexis Theoni Bellack
- Eugena Joyce Bellamy-Green
- Azelin Beltran
- Jordan Benavidez
- Bend Dont Break Counseling & Consulting LLC
- Ryan C Benne
- Kimberly Bennett-Sutton
All providers in Cheyenne, WY · Community Health Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.