Organization Active NPI

Mind Matters

  • Psychiatric/Mental Health Nurse Practitioner
  • Laramie, WY
National Provider Identifier
1982245148
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND MATTERS
Practice address
121 E Grand Ave Ste 204
Laramie, WY 82070-3600
Phone
(307) 630-8798
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Sherra Stclair, APRN
Title
DNP Pmhnp-BC
Phone
(307) 316-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

121 E Grand Ave Ste 204
Laramie, WY 82070-3600

Mailing address

464 N 5TH St
Laramie, WY 82072-3137
Phone (307) 630-8798

National Provider Directory

National Provider Directory

Locations

121 E Grand Ave
Ste 204
Laramie, WY 82070
Phone (307) 316-4410

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1982245148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 N 5TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820723137",
            "telephone_number": "307-630-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E GRAND AVE STE 204",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703600",
            "telephone_number": "307-630-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "STCLAIR",
        "authorized_official_first_name": "SHERRA",
        "authorized_official_title_or_position": "DNP PMHNP-BC",
        "authorized_official_telephone_number": "307-316-4410",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.