Jared M. White Bull

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10269 Highway 789
Riverton, WY 82501-8829

Phone

(307) 857-9468

Fax

(307) 333-0450

NPI assigned

Jul 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1780162958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1989",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010240",
            "telephone_number": "307-857-9468",
            "fax_number": "307-333-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10269 HIGHWAY 789",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825018829",
            "telephone_number": "307-857-9468",
            "fax_number": "307-333-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE BULL",
        "first_name": "JARED",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Ward, DPT
• Olivia P Washington, RN
• Sharmaine Loveli Weed
• Western Family Care
• Kaylee Westlake
• Shana White, M. A. SCHOOL PSYCH
• Glenda Whitehurst, RN
• Ashten K Whiteplume
• Ryan J Wilcox, CRNA
• Wildflower Wellness Counseling LLC

• All providers in Riverton, WY
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.