Individual provider Active NPI

Jill Vatter, RN

  • Registered Nurse
  • Jackson, WY
National Provider Identifier
1891241485
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
29304 Issued in WY
Practice address
945 West Broadway
Suite 202
Jackson, WY 83001-8217
Phone
(307) 734-5999
Fax
(307) 734-0345
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 29304 WY Primary

Addresses

Primary practice location

945 West Broadway
Suite 202
Jackson, WY 83001-8217

Mailing address

PO Box 11359
Jackson, WY 83002-1359
Phone (307) 734-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
29304WYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Angus Goetz DO PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1891241485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11359",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021359",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WEST BROADWAY",
            "address_2": "SUITE 202",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018217",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTER",
        "first_name": "JILL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "29304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.