Organization Active NPI

Tongue River Valley Walk-in Clinic

  • General Practice Physician
  • Ranchester, WY
National Provider Identifier
1780423814
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TONGUE RIVER VALLEY WALK-IN CLINIC
Practice address
222 US Highway 14
Suite a
Ranchester, WY 82839-0486
Phone
(307) 752-6440
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Glennda Yvonne Grier, APRNNPI 1801451133
Title
Owner/Family Nurse Practitioner
Phone
(307) 752-6440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

222 US Highway 14
Suite a
Ranchester, WY 82839-0486

Mailing address

222 US Highway 14
Suite a
Ranchester, WY 82839-0486
Phone (307) 752-6440

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2309820Tongue River Valley Walk-in Clinic222 US Highway 14, Suite a, Ranchester, WY 82839Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1780423814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 US HIGHWAY 14",
            "address_2": "SUITE A",
            "city": "RANCHESTER",
            "state": "WY",
            "postal_code": "828390486",
            "telephone_number": "307-752-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 US HIGHWAY 14",
            "address_2": "SUITE A",
            "city": "RANCHESTER",
            "state": "WY",
            "postal_code": "828390486",
            "telephone_number": "307-752-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGUE RIVER VALLEY WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "GLENNDA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "307-752-6440",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranchester, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.