Wyoming Range Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WYOMING RANGE MEDICAL PC

Doing business as

Red Desert Insta Care

Practice address

2761 Commercial Way
Rock Springs, WY 82901-4753

Phone

(307) 382-3064

Fax

(307) 382-3303

NPI assigned

Oct 6, 2006

Last updated

Sep 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kandace Fernandez

Title

Office Manager

Phone

(307) 382-3064

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RED DESERT INSTA CARE Doing business as

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1871680041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1479",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829021479",
            "telephone_number": "307-382-3064",
            "fax_number": "307-382-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "307-382-3064",
            "fax_number": "307-382-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING RANGE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "KANDACE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-382-3064"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313591",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED DESERT INSTA CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RED DESERT INSTA CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Monet Nicole Young
• Robyn S. Zambai, CMT
• Michal Zanetti, LCSW

• Family Medicine Physician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.