NPIMap

Organization Active NPI

Sisterhood Sanctuary LLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1790649168
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
Legal business name
SISTERHOOD SANCTUARY LLC
Practice address
1842 Sugarland Dr Ste 101
Sheridan, WY 82801-5719
Phone
(307) 763-8701
Fax
(307) 224-2239
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Ashton McComb
Title
Ma
Phone
(307) 752-5078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NU Primary

Addresses

Primary practice location

1842 Sugarland Dr Ste 101
Sheridan, WY 82801-5719

Mailing address

48 Landon LN
Sheridan, WY 82801-9014
Phone (307) 752-5078

National Provider Directory

National Provider Directory

Locations

1842 Sugarland Dr
Ste 101
Sheridan, WY 82801
Phone (307) 673-4960

Practitioners & affiliated clinicians

Practitioners 7

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": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1790649168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LANDON LN",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019014",
            "telephone_number": "307-752-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SUGARLAND DR STE 101",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015719",
            "telephone_number": "307-763-8701",
            "fax_number": "307-224-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERHOOD SANCTUARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MCCOMB",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "MA",
        "authorized_official_telephone_number": "307-752-5078"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.