Individual provider Active NPI

Craig Gathers II

  • Community Health Worker
  • Cheyenne, WY
National Provider Identifier
1932587771
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
2310 E 8TH St
Cheyenne, WY 82001-5256
Phone
(307) 632-6433
Fax
(307) 635-7982
NPI assigned
May 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

2310 E 8TH St
Cheyenne, WY 82001-5256

Mailing address

2310 E 8TH St
Cheyenne, WY 82001-5256
Phone (307) 632-6433

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

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1932587771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E 8TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015256",
            "telephone_number": "307-632-6433",
            "fax_number": "307-635-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E 8TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015256",
            "telephone_number": "307-632-6433",
            "fax_number": "307-635-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHERS",
        "first_name": "CRAIG",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.