Wyoming Services for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WYOMING SERVICES FOR INDEPENDENT LIVING

Practice address

1156 S 2ND St
Lander, WY 82520-3905

Phone

(307) 332-4889

Fax

(307) 332-2491

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Juergens

Title

Executive Director

Phone

(307) 250-7233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1821638685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 S 2ND ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203905",
            "telephone_number": "302-332-4889",
            "fax_number": "307-332-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 S 2ND ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203905",
            "telephone_number": "307-332-4889",
            "fax_number": "307-332-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING SERVICES FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "JUERGENS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "307-250-7233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyoming Dental Imaging, LLC
• Wyoming Family Sonography, LLC
• Wyoming Life Resource Center
• Wyoming Mental Health Clinic, LLC
• Wyoming Path Behavioral Health, LLC
• Wyoming Urology, P.C.
• Bradley Young, LPC
• Daniel Zacks, PARAMEDIC
• Sofia Zappi, RN
• Ruth C Zebroski, WHNP

• Case Management Agency in Lander, WY
• Providers in Lander, WY by specialty
• Case Management Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.