Kerena Luann Jacquot

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

68 Five Finger Peaks Rd
Gillette, WY 82716-9196

Phone

(307) 660-2134

NPI assigned

Jun 21, 2018

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

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1982198982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 FIVE FINGER PEAKS RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827169196",
            "telephone_number": "307-660-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 FIVE FINGER PEAKS RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827169196",
            "telephone_number": "307-660-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUOT",
        "first_name": "KERENA",
        "middle_name": "LUANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Therapy Solutions, LLC
• Stanford T Israelsen, MD
• Lisa Jackson-Eldridge, MSW
• Amber Lauren Jackson-Jordan, R.N.
• Brenda Lavonne Jacob, MS, CCDC III, LAT
• James J Naramore
• James J Naramore
• James J Naramore, MD, PC
• Jessica Sue Jaycox
• Tierney Jeffers, LMT

• Case Manager/Care Coordinator in Gillette, WY
• Providers in Gillette, 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 Jun 21, 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.