Tara Stebleton

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

137 Belfry Hwy
Cody, WY 82414-9524

Phone

(307) 586-3725

NPI assigned

Mar 24, 2017

Last updated

Aug 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Yellowstone Recovery Center

  • Clinical Social Worker
  • Cody, WY
  • NPI 1720401383
  NPD (past)

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1902337678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BELFRY HWY",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149524",
            "telephone_number": "307-586-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BELFRY HWY",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149524",
            "telephone_number": "307-586-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBLETON",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane St. John, M.D.
• St. Vincent Healthcare (Cody Radiation Oncology)
• St. Vincent Healthcare (St. Vincent Physician Network Cody Medical Oncology)
• Kyle Starostka, PHARM D
• R Scott Staudt
• Timothy P Stecker, MPT
• Sandra Lee Steranko
• Cassidy Anne Steward, FNP
• Julie D Steward, C-ACNP
• Alisa K Stewart, OPTICIAN

• Community Health Worker in Cody, WY
• Providers in Cody, WY by specialty
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.