NPIMap

Organization Active NPI

Sublette County Public Health

  • Registered Nurse
  • Pinedale, WY
National Provider Identifier
1902106628
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
25380 Issued in WY
Legal business name
SUBLETTE COUNTY PUBLIC HEALTH
Practice address
619 E Hennick St
Pinedale, WY 82941
Phone
(307) 367-2157
Fax
(307) 367-2689
NPI assigned
Oct 28, 2010
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Brent Sherrard, M.D.
Title
Director
Phone
(307) 367-2157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 25380 WY Primary

Addresses

Primary practice location

619 E Hennick St
Pinedale, WY 82941

Mailing address

PO Box 517
619 E Hennick St
Pinedale, WY 82941
Phone (307) 367-2157

National Provider Directory

National Provider Directory
Tax ID family
Sublette County Public Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1902106628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "address_2": "619 E HENNICK ST",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "82941",
            "telephone_number": "307-367-2157",
            "fax_number": "307-367-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E HENNICK ST",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "82941",
            "telephone_number": "307-367-2157",
            "fax_number": "307-367-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLETTE COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "SHERRARD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-367-2157",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "25380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinedale, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.