Active NPI
Wyo Rise
- Case Manager/Care Coordinator
- Torrington, WY
National Provider Identifier
1790417293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- WYO RISE
- Practice address
- 318 W 11TH Ave
Torrington, WY 82240-3349 - Phone
- (720) 937-1880
- NPI assigned
- Jun 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Servanez
- Title
- Director
- Phone
- (720) 937-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
318 W 11TH Ave
Torrington, WY 82240-3349
Mailing address
318 W 11TH Ave
Torrington, WY 82240-3349
Phone (720) 937-1880
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Torrington, WY
- NPI 1285091298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656028800000",
"number": "1790417293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W 11TH AVE",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822403349",
"telephone_number": "720-937-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 W 11TH AVE",
"city": "TORRINGTON",
"state": "WY",
"postal_code": "822403349",
"telephone_number": "720-937-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYO RISE",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A",
"authorized_official_last_name": "SERVANEZ",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "720-937-1880"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 24, 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.