NPIMap

Organization Active NPI

Cheyenne Regional Medical Center

  • Registered Dietitian
  • Cheyenne, WY
National Provider Identifier
1982338935
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHEYENNE REGIONAL MEDICAL CENTER
Practice address
310 E 24TH St
Cheyenne, WY 82001-3126
Phone
(307) 633-7864
Fax
(307) 432-3127
NPI assigned
Jul 14, 2022
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEYENNE REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Erin Petersen
Title
Payer Enrollment Specialist
Phone
(307) 432-3664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

310 E 24TH St
Cheyenne, WY 82001-3126

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 996-4777

Other names 1

  • FNS Outpatient Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Wyoming Pace20 organizations share this tax ID, including this one
Part of
Wyoming Pace

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1982338935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-996-4777",
            "fax_number": "307-773-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 24TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013126",
            "telephone_number": "307-633-7864",
            "fax_number": "307-432-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEYENNE REGIONAL MEDICAL CENTER",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PAYER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "307-432-3664"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FNS Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.