Individual provider Active NPI

Cristy Leann Hall-Ederer, DNP

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1942710447
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
40548-1655 Issued in WY
Practice address
5890 E 2ND St
Casper, WY 82609-4308
Phone
(307) 337-4058
NPI assigned
Oct 10, 2017
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0993097-NP CO
Family Nurse Practitioner 363LF0000X 40548-1655 WY Primary
Family Nurse Practitioner 363LF0000X 5010868 NC

Addresses

Primary practice location

5890 E 2ND St
Casper, WY 82609-4308

Mailing address

2474 Road 218
Cheyenne, WY 82009-9149
Phone (405) 888-9992

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

State licenses

LicenseStateTypeSpecialty
APN.0993097-NPCOMDFamily Nurse Practitioner
5010868NCMDFamily Nurse Practitioner
40548-1655WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Let'Sgetthinmd, LLC Family 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1942710447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 ROAD 218",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820099149",
            "telephone_number": "405-888-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "307-337-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-EDERER",
        "first_name": "CRISTY",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993097-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "40548-1655",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.