{ "result_count": 32, "results": [ { "addresses": [ { "address_1": "1333 W 5TH ST STE 210", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "fax_number": "307-672-3732", "postal_code": "828012700", "state": "WY", "telephone_number": "307-672-2522" }, { "address_1": "PO BOX 5546", "address_purpose": "MAILING", "address_type": "DOM", "city": "DENVER", "country_code": "US", "country_name": "United States", "fax_number": "801-475-3241", "postal_code": "802175546", "state": "CO", "telephone_number": "801-475-3240" } ], "basic": { "certification_date": "2025-03-25", "credential": "MD", "enumeration_date": "2005-08-19", "first_name": "STEVEN", "last_name": "BEVERLY", "last_updated": "2025-03-25", "middle_name": "M", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1124470846000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1700878279", "issuer": null, "state": "SD" } ], "last_updated_epoch": "1742929195000", "number": "1700878279", "other_names": [], "practiceLocations": [ { "address_1": "4403 HARRISON BLVD", "address_2": "STE 4650", "address_purpose": "LOCATION", "address_type": "DOM", "city": "OGDEN", "country_code": "US", "country_name": "United States", "fax_number": "801-475-3241", "postal_code": "844033271", "state": "UT", "telephone_number": "801-475-3240" }, { "address_1": "200 E CHESTNUT ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LOUISVILLE", "country_code": "US", "country_name": "United States", "fax_number": "303-306-7753", "postal_code": "402021831", "state": "KY", "telephone_number": "502-629-8000" }, { "address_1": "353 FAIRMONT BLVD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RAPID CITY", "country_code": "US", "country_name": "United States", "postal_code": "577017375", "state": "SD", "telephone_number": "864-908-3530" } ], "taxonomies": [ { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "37011", "primary": false, "state": "KY", "taxonomy_group": "" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "15121", "primary": false, "state": "SD", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "37011", "primary": false, "state": "KY", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "8836143-1205", "primary": false, "state": "UT", "taxonomy_group": "" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "15511C", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 27128", "address_purpose": "MAILING", "address_type": "DOM", "city": "SALT LAKE CITY", "country_code": "US", "country_name": "United States", "postal_code": "841270128", "state": "UT", "telephone_number": "801-507-7400" }, { "address_1": "5121 S COTTONWOOD ST STE 130", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MURRAY", "country_code": "US", "country_name": "United States", "fax_number": "801-507-7493", "postal_code": "841075701", "state": "UT", "telephone_number": "801-507-7400" } ], "basic": { "certification_date": "2026-06-10", "credential": "MD", "enumeration_date": "2012-10-08", "first_name": "NATHAN", "last_name": "BLUE", "last_updated": "2026-06-10", "middle_name": "R", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1349711062000", "endpoints": [ { "address_1": "1300 SE Cardinal Ct Ste 190", "address_type": "DOM", "affiliation": "Y", "affiliationName": "Bluemark LLC / Office Ally", "city": "Vancouver", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service", "endpointDescription": "2.16.840.1.113883.3.2019.3", "endpointType": "CONNECT", "endpointTypeDescription": "CONNECT URL", "postal_code": "986839683", "state": "WA", "use": "OTHER", "useDescription": "Other", "useOtherDescription": "CMS esMD eMDR" }, { "address_1": "50 N Medical Dr", "address_type": "DOM", "affiliation": "Y", "affiliationName": "University of Utah", "city": "Salt Lake City", "contentOtherDescription": "CDA/CCD/TXT", "contentType": "OTHER", "contentTypeDescription": "Other", "country_code": "US", "country_name": "United States", "endpoint": "nblue297230@direct.med.utah.edu", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "841320001", "state": "UT", "use": "DIRECT", "useDescription": "Direct" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1781089078000", "number": "1427300938", "other_names": [], "practiceLocations": [ { "address_1": "4600 MONTGOMERY BLVD NE STE 105A", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ALBUQUERQUE", "country_code": "US", "country_name": "United States", "postal_code": "871091292", "state": "NM", "telephone_number": "505-875-1583" }, { "address_1": "3570 W 9000 S STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WEST JORDAN", "country_code": "US", "country_name": "United States", "postal_code": "840888871", "state": "UT", "telephone_number": "801-903-5620" }, { "address_1": "30 N 1900 E # 2B200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SALT LAKE CITY", "country_code": "US", "country_name": "United States", "postal_code": "84132", "state": "UT", "telephone_number": "801-581-8425" }, { "address_1": "1180 COLLEGE DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-352-8126", "postal_code": "829015863", "state": "WY", "telephone_number": "307-212-7525" } ], "taxonomies": [ { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "A123000", "primary": false, "state": "CA", "taxonomy_group": "" }, { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": "12554A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": "MD2014-1005", "primary": false, "state": "NM", "taxonomy_group": "" }, { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": "10714148-1205", "primary": true, "state": "UT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "30 N 1900 E RM 2B200", "address_purpose": "MAILING", "address_type": "DOM", "city": "SALT LAKE CITY", "country_code": "US", "country_name": "United States", "postal_code": "841322209", "state": "UT", "telephone_number": "801-581-7647" }, { "address_1": "30 N 1900 E RM 2B200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SALT LAKE CITY", "country_code": "US", "country_name": "United States", "postal_code": "841322209", "state": "UT", "telephone_number": "801-581-7647" } ], "basic": { "certification_date": "2026-04-30", "credential": "MD", "enumeration_date": "2015-06-13", "first_name": "ANN", "last_name": "BRUNO", "last_updated": "2026-04-30", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1434200770000", "endpoints": [ { "address_1": "50 N Medical Dr", "address_type": "DOM", "affiliation": "Y", "affiliationName": "University of Utah", "city": "Salt Lake City", "contentOtherDescription": "CDA/CCD/TXT", "contentType": "OTHER", "contentTypeDescription": "Other", "country_code": "US", "country_name": "United States", "endpoint": "abruno352183@direct.med.utah.edu", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "841320001", "state": "UT", "use": "DIRECT", "useDescription": "Direct" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1777555333000", "number": "1881075034", "other_names": [], "practiceLocations": [ { "address_1": "1200 COLLEGE DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829015868", "state": "WY", "telephone_number": "307-362-3711" }, { "address_1": "1180 COLLEGE DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "fax_number": "307-352-5358", "postal_code": "829015863", "state": "WY", "telephone_number": "307-362-4200" }, { "address_1": "1 BARNES JEWISH HOSPITAL PLZ", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SAINT LOUIS", "country_code": "US", "country_name": "United States", "postal_code": "631101003", "state": "MO", "telephone_number": "314-362-5000" }, { "address_1": "3570 W 9000 S STE 100", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WEST JORDAN", "country_code": "US", "country_name": "United States", "fax_number": "385-351-6718", "postal_code": "840888871", "state": "UT", "telephone_number": "801-903-5620" } ], "taxonomies": [ { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "2015019244", "primary": false, "state": "MO", "taxonomy_group": "" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "2015018397", "primary": false, "state": "MO", "taxonomy_group": "" }, { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": "11205474-1205", "primary": true, "state": "UT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "428 S DURBIN ST STE 104", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826012818", "state": "WY", "telephone_number": "307-337-4284" }, { "address_1": "428 S DURBIN ST STE 104", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826012818", "state": "WY", "telephone_number": "307-337-4284" } ], "basic": { "authorized_official_first_name": "MICHEL", "authorized_official_last_name": "SKAF", "authorized_official_middle_name": "W", "authorized_official_telephone_number": "3073374284", "authorized_official_title_or_position": "ceo", "enumeration_date": "2017-10-18", "last_updated": "2017-10-18", "organization_name": "CEDARS HEALTH", "organizational_subpart": "YES", "parent_organization_legal_business_name": "CEDARS HEALTH", "status": "A" }, "created_epoch": "1508343108000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1508343108000", "number": "1548771421", "other_names": [ { "code": "3", "organization_name": "CEDARS WOMEN'S HEALTH", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "261QP2300X", "desc": "Clinic/Center, Primary Care", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "707 SHERIDAN AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "postal_code": "824143409", "state": "WY", "telephone_number": "307-527-7501" }, { "address_1": "424 YELLOWSTONE AVE STE 330", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "postal_code": "82414", "state": "WY", "telephone_number": "307-578-2770" } ], "basic": { "certification_date": "2020-10-05", "credential": "MD", "enumeration_date": "2007-02-06", "first_name": "ANDREA", "last_name": "CHISHOLM", "last_updated": "2020-10-05", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1170783240000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1601915907000", "number": "1265571046", "other_names": [], "practiceLocations": [ { "address_1": "55 HIGHLAND ST", "address_2": "SUITE 103", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SALEM", "country_code": "US", "country_name": "United States", "fax_number": "978-741-1146", "postal_code": "019701559", "state": "MA", "telephone_number": "978-741-2500" } ], "taxonomies": [ { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "155750", "primary": false, "state": "MA", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "155750", "primary": false, "state": "MA", "taxonomy_group": "" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "11313A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "810 SALLY PORT RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "postal_code": "820708327", "state": "WY", "telephone_number": "307-205-3084" }, { "address_1": "514 E GRAND AVE # 320", "address_purpose": "MAILING", "address_type": "DOM", "city": "LARAMIE", "country_code": "US", "country_name": "United States", "postal_code": "820703839", "state": "WY" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "JESSICA", "authorized_official_last_name": "POULIN", "authorized_official_middle_name": "ROSE", "authorized_official_name_prefix": "Dr.", "authorized_official_telephone_number": "3072053084", "authorized_official_title_or_position": "CEO", "certification_date": "2024-05-21", "enumeration_date": "2024-02-05", "last_updated": "2024-05-21", "organization_name": "CRITICAL PERINATAL SOLUTIONS P.C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1707153004000", "endpoints": [ { "address_1": "810 Sally Port Rd", "address_type": "DOM", "affiliation": "N", "city": "Laramie", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "admin@criticalperinatalsolutions.com", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "820708327", "state": "WY", "useDescription": "" } ], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1716318548000", "number": "1306609003", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "1613 STAMPEDE AVE", "address_2": "SUITE A", "address_purpose": "MAILING", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "fax_number": "307-587-1166", "postal_code": "824144710", "state": "WY", "telephone_number": "307-587-1155" }, { "address_1": "1613 STAMPEDE AVE", "address_2": "SUITE A", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "fax_number": "307-587-1166", "postal_code": "824144710", "state": "WY", "telephone_number": "307-587-1155" } ], "basic": { "authorized_official_credential": "md", "authorized_official_first_name": "DALE", "authorized_official_last_name": "MYERS", "authorized_official_middle_name": "R", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3075871155", "authorized_official_title_or_position": "owner", "enumeration_date": "2007-10-25", "last_updated": "2011-10-24", "organization_name": "DALE R MYERS MD PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1193328646000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "120532300", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "313292", "issuer": "bcbs", "state": "WY" } ], "last_updated_epoch": "1319482843000", "number": "1083893127", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "7160a", "primary": true, "state": "WY", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 14230", "address_purpose": "MAILING", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-734-1313", "postal_code": "830024230", "state": "WY", "telephone_number": "307-734-0314" }, { "address_1": "62 REDMOND ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-734-0314", "postal_code": "83002", "state": "WY", "telephone_number": "307-734-1313" } ], "basic": { "credential": "MD", "enumeration_date": "2007-04-09", "first_name": "ANN", "last_name": "FENN", "last_updated": "2007-07-09", "middle_name": "M", "name_prefix": "--", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1176143149000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "111250300", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1183957886000", "number": "1992828503", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5482A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2301 HOUSE AVE", "address_2": "SUITE 400", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-638-6675", "postal_code": "820013176", "state": "WY", "telephone_number": "307-634-5216" }, { "address_1": "2301 HOUSE AVE", "address_2": "SUITE 400", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-638-6675", "postal_code": "820013176", "state": "WY", "telephone_number": "307-634-5216" } ], "basic": { "credential": "MD", "enumeration_date": "2006-07-21", "first_name": "MARYELLEN", "last_name": "FOLEY", "last_updated": "2017-04-18", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1153523136000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "110115300", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1492543217000", "number": "1467473900", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5873", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1616 E 19TH ST", "address_2": "SUITE 1", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-637-7925", "postal_code": "820014946", "state": "WY", "telephone_number": "307-637-7886" }, { "address_1": "1616 E 19TH ST", "address_2": "SUITE 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-637-7925", "postal_code": "820014946", "state": "WY", "telephone_number": "307-637-7886" } ], "basic": { "authorized_official_credential": "MD", "authorized_official_first_name": "KIRK", "authorized_official_last_name": "SHAMLEY", "authorized_official_middle_name": "T", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3076377886", "authorized_official_title_or_position": "president", "enumeration_date": "2007-09-11", "last_updated": "2008-07-09", "organization_name": "GYN CARE, PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1189529469000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1215636187000", "number": "1952596199", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5381A", "primary": true, "state": "WY", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "5000 BLACKMORE RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-233-6089", "postal_code": "826093345", "state": "WY", "telephone_number": "307-233-6000" }, { "address_1": "5000 BLACKMORE RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-233-6089", "postal_code": "826093345", "state": "WY", "telephone_number": "307-233-6000" } ], "basic": { "credential": "MD", "enumeration_date": "2006-05-23", "first_name": "PAUL", "last_name": "HARNETTY", "last_updated": "2012-09-07", "middle_name": "M.", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1148417997000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "031732414B", "issuer": null, "state": "GA" } ], "last_updated_epoch": "1347043291000", "number": "1881649374", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "052951", "primary": true, "state": "GA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "153 POWDER HORN RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "postal_code": "828019047", "state": "WY", "telephone_number": "310-800-5159" }, { "address_1": "153 POWDER HORN RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "postal_code": "828019047", "state": "WY", "telephone_number": "310-800-5159" } ], "basic": { "certification_date": "2025-04-16", "credential": "m.d.", "enumeration_date": "2006-09-25", "first_name": "ALLISON", "last_name": "HILL", "last_updated": "2025-04-16", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1159221290000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1744777151000", "number": "1487755542", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "IMLC.MD.61643323", "primary": false, "state": "WA", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "50335", "primary": false, "state": "AL", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "75901", "primary": false, "state": "AZ", "taxonomy_group": "" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "a60760", "primary": false, "state": "CA", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "01095492A", "primary": false, "state": "IN", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "CDR.0004721", "primary": false, "state": "CO", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "036.169839", "primary": false, "state": "IL", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "C3632", "primary": false, "state": "KY", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "TPME6415", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "99504", "primary": false, "state": "GA", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "D0102355", "primary": false, "state": "MD", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "EMC0005927", "primary": false, "state": "MI", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "27064", "primary": false, "state": "NV", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "26IA12188100", "primary": false, "state": "NJ", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "14448A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "190 E BANNOCK ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "BOISE", "country_code": "US", "country_name": "United States", "postal_code": "837126241", "state": "ID" }, { "address_1": "520 S EAGLE RD STE 3209", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MERIDIAN", "country_code": "US", "country_name": "United States", "postal_code": "836426356", "state": "ID", "telephone_number": "208-706-3220" } ], "basic": { "certification_date": "2022-07-22", "credential": "FNP, CNM", "enumeration_date": "2022-01-04", "first_name": "CHELSEY", "last_name": "HYMAS", "last_updated": "2022-07-22", "middle_name": "FAYE", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1641337092000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1658528463000", "number": "1376204149", "other_names": [], "practiceLocations": [ { "address_1": "520 W CLARK ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LYMAN", "country_code": "US", "country_name": "United States", "postal_code": "829375031", "state": "WY", "telephone_number": "307-707-1075" } ], "taxonomies": [ { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": "48587", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "72483", "primary": false, "state": "ID", "taxonomy_group": "" }, { "code": "367A00000X", "desc": "Advanced Practice Midwife", "license": "72483", "primary": true, "state": "ID", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1204 E 2ND ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-234-7474", "postal_code": "826012927", "state": "WY", "telephone_number": "307-234-7400" }, { "address_1": "1204 E 2ND ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "fax_number": "307-234-7474", "postal_code": "826012927", "state": "WY", "telephone_number": "307-234-7400" } ], "basic": { "credential": "MD", "enumeration_date": "2007-04-02", "first_name": "JODI", "last_name": "KAIGH", "last_updated": "2007-07-08", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1175512286000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "112992900", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1183947785000", "number": "1629198593", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5952A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 1844", "address_purpose": "MAILING", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-734-1165", "postal_code": "830011844", "state": "WY", "telephone_number": "307-734-1005" }, { "address_1": "555 E. BROADWAY AVE.", "address_2": "SUITE #201", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-734-1165", "postal_code": "830018640", "state": "WY", "telephone_number": "307-734-1005" } ], "basic": { "certification_date": "2026-05-14", "credential": "MD, FACOG", "enumeration_date": "2006-05-15", "first_name": "MAURA", "last_name": "LOFARO", "last_updated": "2026-05-14", "middle_name": "J.", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1147751799000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "112421800", "issuer": null, "state": "WY" }, { "code": "05", "desc": "MEDICAID", "identifier": "805862900", "issuer": null, "state": "ID" } ], "last_updated_epoch": "1778772739000", "number": "1669423273", "other_names": [ { "code": "5", "first_name": "MAURA", "last_name": "LOFARO HARROWER", "middle_name": "LOFARO", "type": "Other Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "5889A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5889A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "721 SHERIDAN AVE", "address_2": "SUITE 220", "address_purpose": "MAILING", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "fax_number": "307-587-1166", "postal_code": "824143423", "state": "WY", "telephone_number": "307-587-1155" }, { "address_1": "721 SHERIDAN AVE", "address_2": "SUITE 220", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "fax_number": "307-587-1166", "postal_code": "824143423", "state": "WY", "telephone_number": "307-587-1155" } ], "basic": { "credential": "MD", "enumeration_date": "2005-08-03", "first_name": "DALE", "last_name": "MYERS", "last_updated": "2007-10-23", "middle_name": "R", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1123082506000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "120532300", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "313292", "issuer": "BCBS", "state": "WY" } ], "last_updated_epoch": "1193150561000", "number": "1053312827", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "7160A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "150 N MELROSE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826012735", "state": "WY", "telephone_number": "307-234-6988" }, { "address_1": "1301 CONCORD TER", "address_purpose": "MAILING", "address_type": "DOM", "city": "SUNRISE", "country_code": "US", "country_name": "United States", "postal_code": "333232843", "state": "FL", "telephone_number": "800-243-3839" } ], "basic": { "authorized_official_first_name": "LINDA", "authorized_official_last_name": "CHEN", "authorized_official_name_prefix": "--", "authorized_official_telephone_number": "8002433839", "authorized_official_title_or_position": "Assistant Secretary", "certification_date": "2024-06-10", "enumeration_date": "2020-06-02", "last_updated": "2024-06-10", "organization_name": "OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1591124240000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "9000191256", "issuer": null, "state": "CO" } ], "last_updated_epoch": "1718038721000", "number": "1780208082", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "4722 N 24TH ST STE 150", "address_purpose": "MAILING", "address_type": "DOM", "city": "PHOENIX", "country_code": "US", "country_name": "United States", "postal_code": "850164860", "state": "AZ", "telephone_number": "877-737-4546" }, { "address_1": "6350 E 2ND ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CASPER", "country_code": "US", "country_name": "United States", "postal_code": "826094264", "state": "WY", "telephone_number": "303-860-9990" } ], "basic": { "authorized_official_first_name": "LINDA", "authorized_official_last_name": "CHEN", "authorized_official_name_prefix": "--", "authorized_official_telephone_number": "8002433839", "authorized_official_title_or_position": "Assistant Secretary", "certification_date": "2024-06-10", "enumeration_date": "2020-06-02", "last_updated": "2024-06-10", "organization_name": "OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1591121383000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "9000163709", "issuer": null, "state": "CO" } ], "last_updated_epoch": "1718041269000", "number": "1952925240", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "1307 W 3RD ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "postal_code": "827163335", "state": "WY", "telephone_number": "307-682-4664" }, { "address_1": "1307 W 3RD ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GILLETTE", "country_code": "US", "country_name": "United States", "postal_code": "827163335", "state": "WY", "telephone_number": "307-682-4664" } ], "basic": { "credential": "MD", "enumeration_date": "2005-07-07", "first_name": "DONALD", "last_name": "PARKER", "last_updated": "2011-07-27", "middle_name": "WILBERN", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1120777149000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "106821100", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1311789798000", "number": "1811995533", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "3620A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207VX0000X", "desc": "Obstetrics & Gynecology, Obstetrics", "license": "3620A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "110 S GOULD ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "fax_number": "307-224-2293", "postal_code": "828016321", "state": "WY", "telephone_number": "307-763-8701" }, { "address_1": "PO BOX 5087", "address_purpose": "MAILING", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "fax_number": "307-224-2293", "postal_code": "828011387", "state": "WY", "telephone_number": "307-763-8701" } ], "basic": { "credential": "CNM,M.S.", "enumeration_date": "2006-07-14", "first_name": "AMY", "last_name": "RABON", "last_updated": "2019-02-15", "middle_name": "M.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1152891291000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "110391101", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1550259857000", "number": "1215953385", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "22464.343", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1616 E 19TH ST", "address_2": "SUITE 1", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-637-7925", "postal_code": "820014946", "state": "WY", "telephone_number": "307-637-7886" }, { "address_1": "1616 E 19TH ST", "address_2": "SUITE 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-637-7925", "postal_code": "820014946", "state": "WY", "telephone_number": "307-637-7886" } ], "basic": { "credential": "MD", "enumeration_date": "2006-06-06", "first_name": "KIRK", "last_name": "SHAMLEY", "last_updated": "2007-08-17", "middle_name": "THOMAS", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1149574628000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "108711800", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1187368691000", "number": "1558300459", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5381A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "745 BUENA VISTA DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "LANDER", "country_code": "US", "country_name": "United States", "fax_number": "307-332-1920", "postal_code": "825203431", "state": "WY", "telephone_number": "307-332-2941" }, { "address_1": "745 BUENA VISTA DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LANDER", "country_code": "US", "country_name": "United States", "fax_number": "307-332-1920", "postal_code": "825203431", "state": "WY", "telephone_number": "307-332-2941" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-06-01", "first_name": "JAN", "last_name": "SIEBERSMA", "last_updated": "2015-06-15", "middle_name": "K.", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1117638602000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "25802", "issuer": "Pres", "state": "NM" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "5275478", "issuer": "Lovelace", "state": "NM" }, { "code": "05", "desc": "MEDICAID", "identifier": "F6662", "issuer": null, "state": "NM" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "NM009818", "issuer": "BCBS", "state": "NM" } ], "last_updated_epoch": "1434403363000", "number": "1952303216", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "92-345", "primary": false, "state": "NM", "taxonomy_group": "" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": "8076A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "999 18TH ST STE 3000", "address_purpose": "MAILING", "address_type": "DOM", "city": "DENVER", "country_code": "US", "country_name": "United States", "postal_code": "802022449", "state": "CO", "telephone_number": "888-731-8994" }, { "address_1": "999 18TH ST STE 3000", "address_purpose": "LOCATION", "address_type": "DOM", "city": "DENVER", "country_code": "US", "country_name": "United States", "postal_code": "802022449", "state": "CO", "telephone_number": "888-731-8994" } ], "basic": { "certification_date": "2025-12-29", "credential": "APRN", "enumeration_date": "2015-11-09", "first_name": "HEATHER", "last_name": "SIMON", "last_updated": "2025-12-29", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1447090865000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "9000197129", "issuer": null, "state": "CO" }, { "code": "05", "desc": "MEDICAID", "identifier": "95025570", "issuer": null, "state": "NM" } ], "last_updated_epoch": "1767025926000", "number": "1174996482", "other_names": [], "practiceLocations": [ { "address_1": "100 SUN AVE NE STE 650", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ALBUQUERQUE", "country_code": "US", "country_name": "United States", "postal_code": "871094670", "state": "NM", "telephone_number": "888-731-8994" }, { "address_1": "111 N ORANGE AVE STE 800", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ORLANDO", "country_code": "US", "country_name": "United States", "postal_code": "328012381", "state": "FL", "telephone_number": "888-731-8994" }, { "address_1": "1603 CAPITOL AVE STE 413", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "postal_code": "820014562", "state": "WY", "telephone_number": "888-731-8994" } ], "taxonomies": [ { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "ARNP9297979", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": "C-APN.0001889-C-NP", "primary": true, "state": "CO", "taxonomy_group": "" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": "ARNP9297979", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "363LF0000X", "desc": "Nurse Practitioner, Family", "license": "66019", "primary": false, "state": "NM", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "48 LANDON LN", "address_purpose": "MAILING", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "postal_code": "828019014", "state": "WY", "telephone_number": "307-752-5078" }, { "address_1": "1842 SUGARLAND DR STE 101", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SHERIDAN", "country_code": "US", "country_name": "United States", "fax_number": "307-224-2239", "postal_code": "828015719", "state": "WY", "telephone_number": "307-763-8701" } ], "basic": { "authorized_official_first_name": "ASHTON", "authorized_official_last_name": "MCCOMB", "authorized_official_telephone_number": "3077525078", "authorized_official_title_or_position": "MA", "certification_date": "2025-12-10", "enumeration_date": "2025-12-10", "last_updated": "2025-12-10", "organization_name": "SISTERHOOD SANCTUARY LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1765415702000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1765415702000", "number": "1790649168", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 8760", "address_purpose": "MAILING", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-734-9577", "postal_code": "830028760", "state": "WY", "telephone_number": "307-733-1122" }, { "address_1": "230 EAST BROADWAY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JACKSON", "country_code": "US", "country_name": "United States", "fax_number": "307-734-9577", "postal_code": "83001", "state": "WY", "telephone_number": "307-733-1122" } ], "basic": { "credential": "M.D.", "enumeration_date": "2005-06-24", "first_name": "HENRY", "last_name": "SMITH", "last_updated": "2007-07-08", "middle_name": "THOMAS", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1119646600000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "110998700", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "303832", "issuer": "BLUE CROSS BLUE SHIELD", "state": "WY" } ], "last_updated_epoch": "1183947785000", "number": "1104822972", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5592A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "7356 STOCKMAN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "postal_code": "820096006", "state": "WY", "telephone_number": "307-632-3399" }, { "address_1": "3614 PATRICK RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "postal_code": "820071177", "state": "WY", "telephone_number": "307-369-3608" } ], "basic": { "certification_date": "2023-02-14", "credential": "CNM", "enumeration_date": "2021-10-31", "first_name": "AMANDA", "last_name": "TANNER", "last_updated": "2023-02-14", "middle_name": "LEIGH", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1635708892000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1676407470000", "number": "1346905874", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "363L00000X", "desc": "Nurse Practitioner", "license": "CS04520", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "C-APN.0003391-C-CNM", "primary": false, "state": "CO", "taxonomy_group": "" }, { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "C-RXN.0001685-C-CNM", "primary": false, "state": "CO", "taxonomy_group": "" }, { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "48730", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "30 N 1900 E STE 2A200", "address_purpose": "MAILING", "address_type": "DOM", "city": "SALT LAKE CITY", "country_code": "US", "country_name": "United States", "postal_code": "841320002", "state": "UT", "telephone_number": "801-581-8425" }, { "address_1": "50 N MEDICAL DR STE 2185", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SALT LAKE CITY", "country_code": "US", "country_name": "United States", "postal_code": "84132", "state": "UT", "telephone_number": "801-581-8425" } ], "basic": { "certification_date": "2021-12-17", "credential": "MD", "enumeration_date": "2011-08-08", "first_name": "LAUREN", "last_name": "THEILEN", "last_updated": "2021-12-17", "middle_name": "H", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1312825549000", "endpoints": [ { "address_1": "50 N Medical Dr", "address_type": "DOM", "affiliation": "Y", "affiliationName": "University of Utah", "city": "Salt Lake City", "contentOtherDescription": "CDA/CCD/TXT", "contentType": "OTHER", "contentTypeDescription": "Other", "country_code": "US", "country_name": "United States", "endpoint": "ltheilen146700@direct.med.utah.edu", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "841320100", "state": "UT", "use": "DIRECT", "useDescription": "Direct" } ], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1639756180000", "number": "1174802250", "other_names": [], "practiceLocations": [ { "address_1": "1180 COLLEGE DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ROCK SPRINGS", "country_code": "US", "country_name": "United States", "postal_code": "829015863", "state": "WY", "telephone_number": "307-212-7525" } ], "taxonomies": [ { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": "11673A", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "207VM0101X", "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine", "license": "9373044-1205", "primary": true, "state": "UT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "2301 HOUSE AVE", "address_2": "SUITE 400", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-638-6675", "postal_code": "820013176", "state": "WY", "telephone_number": "307-634-5216" }, { "address_1": "2301 HOUSE AVE", "address_2": "SUITE 400", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-638-6675", "postal_code": "820013176", "state": "WY", "telephone_number": "307-634-5216" } ], "basic": { "credential": "MD", "enumeration_date": "2006-07-21", "first_name": "PHILIP", "last_name": "WAGNER", "last_updated": "2010-07-21", "middle_name": "L", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1153522357000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "104211400", "issuer": null, "state": "WY" } ], "last_updated_epoch": "1279739215000", "number": "1740201276", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5171A", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "707 SHERIDAN AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "fax_number": "307-578-2485", "postal_code": "824143409", "state": "WY", "telephone_number": "307-527-7501" }, { "address_1": "424 YELLOWSTONE AVE STE 330", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "postal_code": "824148917", "state": "WY", "telephone_number": "307-578-2770" } ], "basic": { "certification_date": "2025-12-12", "enumeration_date": "2025-12-08", "first_name": "ALYSSA", "last_name": "WHITLOCK", "last_updated": "2025-12-12", "middle_name": "JO", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1765227004000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1765549725000", "number": "1184587925", "other_names": [], "practiceLocations": [ { "address_1": "424 YELLOWSTONE AVE STE 120", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "postal_code": "824149311", "state": "WY", "telephone_number": "307-578-2904" }, { "address_1": "707 SHERIDAN AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CODY", "country_code": "US", "country_name": "United States", "postal_code": "824143409", "state": "WY", "telephone_number": "307-527-7501" }, { "address_1": "525 N 5TH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BASIN", "country_code": "US", "country_name": "United States", "postal_code": "82410", "state": "WY", "telephone_number": "307-586-3700" } ], "taxonomies": [ { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "43660", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "363L00000X", "desc": "Nurse Practitioner", "license": "43660", "primary": true, "state": "WY", "taxonomy_group": "" }, { "code": "363LW0102X", "desc": "Nurse Practitioner, Women's Health", "license": "43660", "primary": false, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "4003 RAWLINS ST.", "address_purpose": "MAILING", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-634-9267", "postal_code": "820011800", "state": "WY", "telephone_number": "307-638-8975" }, { "address_1": "3235 SPARKS RD", "address_2": "SUITE 200", "address_purpose": "LOCATION", "address_type": "DOM", "city": "CHEYENNE", "country_code": "US", "country_name": "United States", "fax_number": "307-634-9267", "postal_code": "820016158", "state": "WY", "telephone_number": "307-638-8975" } ], "basic": { "credential": "APRN", "enumeration_date": "2007-09-18", "first_name": "ELLEN", "last_name": "WILHELM", "last_updated": "2012-02-01", "middle_name": "C", "name_prefix": "Mrs.", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1190138164000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "121720800", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "313702", "issuer": "BLUE CROSS BLUE SHIELD", "state": "WY" } ], "last_updated_epoch": "1328122249000", "number": "1962698514", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "14569.146", "primary": false, "state": "WY", "taxonomy_group": "" }, { "code": "363LX0001X", "desc": "Nurse Practitioner, Obstetrics & Gynecology", "license": "14569.0146", "primary": true, "state": "WY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 243", "address_purpose": "MAILING", "address_type": "DOM", "city": "WILSON", "country_code": "US", "country_name": "United States", "postal_code": "830140243", "state": "WY", "telephone_number": "307-733-5676" }, { "address_1": "5235 HHR ROAD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WILSON", "country_code": "US", "country_name": "United States", "postal_code": "83014", "state": "WY", "telephone_number": "307-733-5676" } ], "basic": { "authorized_official_credential": "M.D.", "authorized_official_first_name": "ROGER", "authorized_official_last_name": "BRECHEEN", "authorized_official_middle_name": "M", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "3077335676", "authorized_official_title_or_position": "President", "enumeration_date": "2008-01-16", "last_updated": "2008-03-19", "organization_name": "WILSON GYNECOLOGY CARE PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1200494806000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1205956059000", "number": "1619153038", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VX0000X", "desc": "Obstetrics & Gynecology, Obstetrics", "license": "5262A", "primary": false, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "5262A", "primary": true, "state": "WY", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "1551 BRICE ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "WHEATLAND", "country_code": "US", "country_name": "United States", "fax_number": "307-322-2018", "postal_code": "822013505", "state": "WY", "telephone_number": "307-322-3861" }, { "address_1": "1551 BRICE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WHEATLAND", "country_code": "US", "country_name": "United States", "fax_number": "307-322-2018", "postal_code": "822013505", "state": "WY", "telephone_number": "307-322-3861" } ], "basic": { "credential": "MD", "enumeration_date": "2005-08-02", "first_name": "WILLARD", "last_name": "WOODS", "last_updated": "2023-03-07", "middle_name": "M", "name_prefix": "Mr.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1122996232000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "10223000", "issuer": null, "state": "WY" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "301617", "issuer": "WY BC/BS", "state": "WY" } ], "last_updated_epoch": "1678238276000", "number": "1457352452", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "207VG0400X", "desc": "Obstetrics & Gynecology, Gynecology", "license": "2725A", "primary": true, "state": "WY", "taxonomy_group": "" } ] } ] }