UINTA URGENT CARE (NPI# 1023177375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023177375 |
| Entity Type | Organization |
| Organization Name | UINTA URGENT CARE |
| Practice Address |
75 Yellow Creek Rd Suite 202 Evanston WY 82930 |
| Mailing Address |
Po Box 1382 Evanston WY 82931-1382 |
| Practice Telephone | 3077896111 |
| Mailing Telephone | 3077896111 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-07-14 |
| Authorized Official Name | MS. KIMBERLY ANNE BEGALLA (PRESIDENT) |
| Authorized Official Telephone | 3077896111 |
| Authorized Official Credential | CFNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19196.0204 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 118122000 | 05 |
| Street Address |
75 YELLOW CREEK RD SUITE 202 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005347 | Michael Dean Adams | Family Medicine | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2005-06-30 |
| 1285003970 | Terrick Harrild | Physician Assistant | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2015-09-23 |
| 1235495771 | Bear Lake Community Health Centers | Clinic/Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2012-04-10 |
| 1063794816 | Ronald Janeiro Dolan | Counselor | 75 Yellow Creek Rd, Suite 105, Evanston, WY 82930-5235 | 2011-09-16 |
| 1356621213 | Adrienne Southard | Nurse's Aide | 75 Yellow Creek Rd, 105, Evanston, WY 82930-5235 | 2011-08-24 |
| 1619257540 | Coreena J Bradley | Licensed Practical Nurse | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-08-23 |
| 1346548088 | Alma D Coleman | Case Manager/Care Coordinator | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1235437989 | Renee C Walker | Nurse's Aide | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1205013455 | Michael D. Adams, M.d., P.C. | Family Medicine | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2008-01-29 |
| 1174563241 | Kimberly Anne Begalla | Nurse Practitioner | 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930-5235 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103291 | Mary Driscoll | Nurse Practitioner | 800 Austin St Ste 207, Evanston, IL 60202-3442 | 2020-08-01 |
| 1013566892 | Reba Elizabeth Mathew | Nurse Practitioner | 500 Asbury Ave # 316-3320, Evanston, IL 60202-2724 | 2019-09-05 |
| 1952768210 | Jacqueline Christie | Nurse Practitioner | 215d Dodge Ave, Evanston, IL 60202-3669 | 2016-01-18 |
| 1962873075 | Laura E Hilb | Nurse Practitioner | 2121 Dewey Ave, Evanston, IL 60201-3057 | 2015-10-14 |
| 1871982876 | Mirela Shuleva | Nurse Practitioner | 2221 Central St Apt 3e, Evanston, IL 60201-5750 | 2015-01-13 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1720303993 | Olatokunbo Olorunfemi | Nurse Practitioner | 3333 Central Street, Evanston, IL 60201-1150 | 2010-03-31 |
| 1598868689 | Mary Elizabeth Coffeen-carley | Nurse Practitioner | 831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 | 2006-09-06 |
| 1982614723 | Kimberly S Larson | Nurse Practitioner | 170 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-08-08 |
| 1013916519 | Evanston Clinic Corp | Nurse Practitioner | 196 Arrowhead Dr Ste 8, Evanston, WY 82930-8752 | 2005-07-18 |
| Find all providers in EVANSTON | ||||
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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.