MARY JANE AXELROD (NPI# 1114047008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114047008 |
Entity Type | Individual |
Full Name | MARY JANE AXELROD |
Credential | RN |
Practice Address |
14 Great Plains Rd Arapahoe WY 82510 |
Mailing Address |
Po Box 1310 Riverton WY 82501-0158 |
Practice Telephone | 3078569281 |
Mailing Telephone | 3078569281 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
13608 | WY | Nursing Service Providers |
Street Address |
14 GREAT PLAINS RD |
City | ARAPAHOE |
State | WY |
Zip Code | 82510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255337549 | David James Langford | Optometrist | 14 Great Plains Rd, Arapahoe, WY 82510 | 2005-06-22 |
1306307962 | Yvonne Hope Lopez-bargeron | Nurse Practitioner | 14 Great Plains Rd, Arapahoe, WY 82510 | 2019-03-27 |
1912472630 | Alexa Callison-burch | Physician Assistant | 14 Great Plains Rd, Arapahoe, WY 82510 | 2018-10-09 |
1679029474 | Corina Teves | Spec/Tech, Pathology | 14 Great Plains Rd, Arapahoe, WY 82510 | 2016-08-31 |
1285006379 | Wind River Family & Community Health Care | Case Manager/Care Coordinator | 14 Great Plains Rd, Arapahoe, WY 82501-8250 | 2015-10-28 |
1689089161 | Cori Mcadams | Counselor | 14 Great Plains Rd, Arapahoe, WY 82501 | 2014-06-24 |
1700124617 | Gilda Mark | Nurse Practitioner | 14 Great Plains Rd, Arapahoe, WY 82510 | 2013-01-28 |
1164773750 | Angela Grace Denke | Pharmacist | 14 Great Plains Rd, Arapahoe, WY 82510 | 2012-09-24 |
1508187790 | Amy J Hatcher | Pediatrics | 14 Great Plains Rd, Arapahoe, WY 82510 | 2010-06-22 |
1750549895 | Freda Blackburn | Registered Nurse | 14 Great Plains Rd, Arapahoe, WY 82510 | 2008-05-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396307955 | Destinee Autumn Jara | Community Health Worker | #24 Great Plains Rd., Arapahoe, WY 82510 | 2019-07-03 |
1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
1043747181 | Caroline Lamar Pihl | Family Medicine | 14 Great Plains Road Wind River Family & Community Heal, Arapahoe, WY 82510 | 2017-05-19 |
1427402239 | Emily Delorme | Community Health Worker | 24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-18 |
1780038984 | Evelyn Jimenez | Case Manager/Care Coordinator | #24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-14 |
1972965523 | Crystal P Brown | Case Manager/Care Coordinator | 24 Great Plains Rd, Arapahoe, WY 82510 | 2016-03-23 |
1902213093 | White Buffalo Recovery Center | Clinic/Center | #22 Great Plains Rd, Arapahoe, WY 82510 | 2014-07-21 |
1326454067 | Rachael Munoz | Counselor | 24 Great Plains Rd., Arapahoe, WY 82510 | 2014-07-02 |
1174938666 | Jane Dewey | Case Manager/Care Coordinator | 22 Great Plains Rd, Arapaho, WY 82510 | 2014-06-24 |
1477893253 | Mindy Rae Pomeroy | Spec/Tech, Pathology | 14 Great Plains Rd., Arapaho, WY 82510 | 2013-02-15 |
Find all providers in zip 82510 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609996701 | Michele Schuster | Registered Nurse | 14 Great Plains Road, Arapahoe, WY 82510 | 2007-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366562258 | James Allan Havens | Registered Nurse | 29 Blackcoal Drive, Fort Washakie, WY 82514 | 2007-04-02 |
1174138002 | Laura Ann Daniels | Registered Nurse | 401 S 23rd St, Worland, WY 82401-3725 | 2020-09-08 |
1770039380 | Larado Zerga | Registered Nurse | 28 Black Coal Dr, Fort Washakie, WY 82514 | 2016-09-01 |
1821212085 | Marsha Taggart | Registered Nurse | 29 Black Coal Drive, Ft. Washakie, WY 82520 | 2007-04-12 |
1568582658 | Robin Fiske | Registered Nurse | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2007-03-30 |
1174643423 | Janice C Roman | Registered Nurse | 29 Black Coal Drive, 29 Black Coal Drive, Fort Washakie, WY 82514 | 2007-03-30 |
1275632275 | Washakie County Public Health/family Planning | Registered Nurse | 1007 Robertson Ave, Worland, WY 82401-2720 | 2006-09-22 |
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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.