Individual provider Active NPI

Catherine Monhollen, APRN

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1841306537
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29952.1135 Issued in WY
Practice address
770 E 2ND St
Casper, WY 82601-2621
Phone
(307) 237-5510
Fax
(307) 237-0607
NPI assigned
Aug 22, 2006
Last updated
May 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29952.1135 WY Primary
Family Nurse Practitioner 363LF0000X SP008447 PA

Addresses

Primary practice location

770 E 2ND St
Casper, WY 82601-2621

Mailing address

770 E 2ND St
Casper, WY 82601-2621
Phone (307) 237-5510

Other identifiers 1

IdentifierTypeStateIssuer
132716000MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120413000620 WY Practitioner - Nurse Practitioner 5496797540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008447PAMDFamily Nurse Practitioner
29952.1135WYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1841306537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012621",
            "telephone_number": "307-237-5510",
            "fax_number": "307-237-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012621",
            "telephone_number": "307-237-5510",
            "fax_number": "307-237-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONHOLLEN",
        "first_name": "CATHERINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "29952.1135",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132716000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.