Peggy Ruth Cheatham

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

317 S Day St
Powell, WY 82435

Phone

(307) 272-6805

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1982114138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S DAY ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352913",
            "telephone_number": "307-272-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S DAY ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "82435",
            "telephone_number": "307-272-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "PEGGY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142464500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CG Mental Health Inc.
• Robert Chandler, M.D.
• Tanja Chandler, R.PH.
• Jennifer H Chanley, P.T.
• Joshua Chavarria
• Ashley Carol Chenoweth, DDS
• Adam W Childers, MD
• Michelle Chouinard
• Lisa Renee Christen, DNP, APRN-AGNP-C
• Brittany Christensen

• Case Manager/Care Coordinator in Powell, WY
• Providers in Powell, WY by specialty
• Case Manager/Care Coordinator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.