Veterans Affairs Medical Center

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Legal business name

VETERANS AFFAIRS MEDICAL CENTER

Practice address

5709 Education Dr
Apartment 307
Cheyenne, WY 82009-3951

Phone

(307) 760-4867

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Ann Robertson, CPHT, B.S

Title

Pharmacy Technician

Phone

(307) 760-4867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1962718692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 EDUCATION DR",
            "address_2": "APARTMENT 307",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093951",
            "telephone_number": "307-760-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 EDUCATION DR",
            "address_2": "APARTMENT 307",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093951",
            "telephone_number": "307-760-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "307-760-4867",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPHT, B.S"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Brent Vernon, DPT
• Veronica Pedersen, LCSW, LLC
• Versavault Transport Services LLC
• Veteran Home Care LLC
• Veteran'S Resiliency and Recovery Ranch, Inc.
• Maren Lyn Vetter
• Suzanne Michelle Vetter
• Angela Vigil
• Desirae Christina Vigil
• Mariah Vigil, RBT

• VA Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• VA Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.