NPIMap

Organization Active NPI

Wyoming Wellness Center, LLC

  • Certified Registered Nurse Anesthetist
  • Torrington, WY
National Provider Identifier
1780334466
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WYOMING WELLNESS CENTER, LLC
Practice address
601 Niobrara Ave
Torrington, WY 82240-1522
Phone
(307) 532-3035
Fax
(307) 275-9533
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mrs. Tracy Rene' Richard, CRNA / APRN
Title
Owner / Provider
Phone
(307) 532-3035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

601 Niobrara Ave
Torrington, WY 82240-1522

Mailing address

601 Niobrara Ave
Torrington, WY 82240-1522
Phone (307) 532-3035

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wyomingwellnesscenter@myupdox.com Direct

National Provider Directory

National Provider Directory

Locations

601 Niobrara Ave
Torrington, WY 82240
Phone (307) 532-3035

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1780334466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NIOBRARA AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401522",
            "telephone_number": "307-532-3035",
            "fax_number": "307-275-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NIOBRARA AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401522",
            "telephone_number": "307-532-3035",
            "fax_number": "307-275-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RENE'",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "307-532-3035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA / APRN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wyomingwellnesscenter@myupdox.com",
            "affiliation": "N",
            "endpointDescription": "Updox secure messaging, texting, and faxing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "601 Niobrara Ave",
            "city": "Torrington",
            "state": "WY",
            "country_code": "US",
            "postal_code": "822401522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.