County of Teton

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF TETON

Doing business as

Teton County Health Department

Practice address

460 E Pearl Ave
Jackson, WY 83001-8410

Phone

(307) 733-6401

Fax

(307) 733-8747

NPI assigned

Jul 9, 2006

Last updated

Jan 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Travis John Riddell, MDNPI 1720255128

Title

Director of Health

Phone

(307) 733-4627

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 3

• Teton County Health Department Doing business as
• Teton County Public Health Other name
• Teton County Public Health Nursing Other name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Teton

  dba Jackson Hole Fire EMS

  • Land Ambulance
  • Jackson, WY
  • NPI 1003947953

  7618957614

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Teton Public Health Dep2 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.

• County of Teton

  dba Jackson Hole Fire EMS

  • Land Ambulance
  • Jackson, WY
  • NPI 1003947953
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• County of Teton

  dba Jackson Hole Fire EMS

  • Land Ambulance
  • Jackson, WY
  • NPI 1003947953
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis John Riddell, M.D.

  • Pediatrics Physician
  • Jackson, WY
  • NPI 1720255128
  NPD Authorized official
• Ann Adair Essary Flynt, CNM, FNP-C

  • Family Nurse Practitioner
  • Jackson, WY
  • NPI 1467971010
  NPD
• Jenny Barbera

  • Community Health Registered Nurse
  • Jackson, WY
  • NPI 1427965979
  NPD (past)
• Molly Katherine Eagar, RN

  • Registered Nurse
  • Jackson, WY
  • NPI 1013832542
  NPD (past)
• Chelsey Blue Peters, RN

  • Community Health Registered Nurse
  • Jackson, WY
  • NPI 1942117627
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1952334393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010937",
            "telephone_number": "307-733-6401",
            "fax_number": "307-733-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E PEARL AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018410",
            "telephone_number": "307-733-6401",
            "fax_number": "307-733-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "RIDDELL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "307-733-4627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108405400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teton County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teton County Public Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Teton County Public Health Nursing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Entry Services
• Thomas D Concannon, LMFT
• Laura Beth Cooper, MD
• Dane Corry
• County of Teton (Jackson Hole Fire EMS)
• Blythe Elizabeth Cox, PA C
• Craig Family Dental, LLC
• Curtis E Cretal, MAC
• Duwayne John Crook, OTR
• Caleb M Cross, DPT

• Public Health or Welfare Agency in Jackson, WY
• Providers in Jackson, WY by specialty
• Public Health or Welfare Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.