BRAIN INJURY ALLIANCE OF WYOMING (NPI# 1003220096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003220096 |
| Entity Type | Organization |
| Organization Name | BRAIN INJURY ALLIANCE OF WYOMING |
| Other Organization Name | BRAIN INJURY ASSOCIATION OF WYOMING |
| Practice Address |
111 W 2nd St Ste 106 Casper WY 82601-2458 |
| Practice Telephone | 3074731767 |
| Practice Fax Number | 3072375222 |
| Mailing Telephone | 3074731767 |
| Mailing Fax Number | 3072375222 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MRS. DAWN M LACKO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3074731767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| Brain Injury Association of Wyoming | Former Legal Business Name - Organization |
| Street Address |
111 W 2ND ST STE 106 |
| City | CASPER |
| State | WY |
| Zip Code | 82601-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224305 | Care Partners of Wyoming | Day Training, Developmentally Disabled Services | 142 N Melrose St, Casper, WY 82601-2735 | 2019-09-14 |
| 1316488653 | Julie Elvestad | Day Training, Developmentally Disabled Services | 4070 Plaza Dr Ste 106, Casper, WY 82604-4296 | 2017-03-20 |
| 1558641019 | Lois Lavaughn Bowman | Day Training, Developmentally Disabled Services | 1524 Sheridan Dr, Casper, WY 82604-3106 | 2011-08-27 |
| 1639474158 | Jennie R Demarce | Day Training, Developmentally Disabled Services | 123 Colorado Ave, Casper, WY 82609-1703 | 2011-01-13 |
| 1558663773 | Scott Honken | Day Training, Developmentally Disabled Services | 4900 Yesness Ct, Casper, WY 82604-5206 | 2010-11-19 |
| 1598081960 | Kimberly Rose Glynn | Day Training, Developmentally Disabled Services | 11750 W Zero Rd, Casper, WY 82604-9540 | 2010-04-10 |
| 1669706412 | Jennifer Leigh Ryerson-heaton | Day Training, Developmentally Disabled Services | 3415 Monte Vista Dr., Casper, WY 82601 | 2009-09-28 |
| 1952634727 | Family of God Church | Day Training, Developmentally Disabled Services | 4300 S Poplar St, Casper, WY 82601-6107 | 2009-09-11 |
| 1952531279 | Rick Jude Lamotte | Day Training, Developmentally Disabled Services | 1820 Mariposa Blvd, Casper, WY 82604-4829 | 2009-07-21 |
| 1821292558 | The Center for Abilities | Day Training, Developmentally Disabled Services | 107 Sherwood Cir, Casper, WY 82609-3532 | 2007-06-14 |
| Find all providers in CASPER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.