Active NPI
Community Strong LLC
- Clinic/Center
- Kemmerer, WY
National Provider Identifier
1831966266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- COMMUNITY STRONG LLC
- Practice address
- 1100 Pine Ave Ste 3B
Kemmerer, WY 83101-3237 - Phone
- (405) 229-7898
- NPI assigned
- Dec 6, 2023
- 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
- Whitney D Walsh
- Title
- Cao
- Phone
- (405) 229-7898
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Informatics Physician | 2083C0008X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Clinical Nurse Specialist | 364S00000X | |||
| Chronic Care Clinical Nurse Specialist | 364SC2300X | |||
| Family Health Clinical Nurse Specialist | 364SF0001X |
Addresses
Primary practice location
1100 Pine Ave Ste 3B
Kemmerer, WY 83101-3237
Mailing address
1208 Hilltop Dr Ste 204
Rock Springs, WY 82901-5859
Phone (405) 229-7898
Other practice location 1
1208 Hilltop Dr Ste 204
Rock Springs, WY 82901-5859
Phone (405) 229-7898
Other names 1
- Community Strong LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240229004639 | WY | Part B Supplier - Clinic/Group Practice | 3779928627 | Practice locations: Kemmerer, WY |
National Provider Directory
National Provider DirectoryLocations
1100 Pine Ave
Kemmerer, WY 83101
1100 Pine Ave
Ste 3B
Kemmerer, WY 83101
Phone (307) 877-2951
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Diamondville, WY
- NPI 1902299787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734998400000",
"number": "1831966266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 HILLTOP DR STE 204",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015859",
"telephone_number": "405-229-7898",
"fax_number": "877-552-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 PINE AVE STE 3B",
"city": "KEMMERER",
"state": "WY",
"postal_code": "831013237",
"telephone_number": "405-229-7898"
}
],
"practiceLocations": [
{
"address_1": "1208 Hilltop Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Rock Springs",
"state": "WY",
"postal_code": "829015859",
"country_code": "US",
"telephone_number": "405-229-7898",
"fax_number": "877-552-0705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY STRONG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-06",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "WHITNEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "405-229-7898"
},
"taxonomies": [
{
"code": "2083C0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Clinical Informatics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SC2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Chronic Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SF0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Family Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Strong LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Strong LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kemmerer, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.