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Organization Active NPI

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  • Nutritionist
  • Cheyenne, WY
National Provider Identifier
1821806605
Registry record updated Dec 24, 2024
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Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
CHANGE MINDSET
Practice address
2232 Dell Range Blvd Suite 245 Box# 3317
Cheyenne, WY 82009
Phone
(973) 517-0182
NPI assigned
Dec 24, 2024
Last updated
Dec 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Mrs. Shauntra Lamotte- Osborne, BCHHP, CHNNPI 1508673146
Title
Owner / Bchhp
Phone
(973) 517-0182

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

2232 Dell Range Blvd Suite 245 Box# 3317
Cheyenne, WY 82009

Mailing address

2232 Dell Range Blvd Suite 245 Box# 3317
Cheyenne, WY 82009

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": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1821806605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 DELL RANGE BLVD SUITE 245 BOX# 3317",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 DELL RANGE BLVD SUITE 245 BOX# 3317",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82009",
            "telephone_number": "973-517-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE MINDSET",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "LAMOTTE- OSBORNE",
        "authorized_official_first_name": "SHAUNTRA",
        "authorized_official_title_or_position": "OWNER / BCHHP",
        "authorized_official_telephone_number": "973-517-0182",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCHHP, CHN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.