DR. MARTY NELSON (NPI# 1134355191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134355191 |
| Entity Type | Individual |
| Full Name | DR. MARTY NELSON |
| Credential | PSYD |
| Practice Address |
2300 Capitol Ave, Hathaway Bldg 3rd Floor Cheyenne WY 82002 |
| Practice Telephone | 3077777150 |
| Practice Fax Number | 3077773693 |
| Mailing Telephone | 3077776203 |
| Mailing Fax Number | 3077773693 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1086 | WY | Behavioral Health & Social Service Providers |
| Street Address |
2300 CAPITOL AVE, HATHAWAY BLDG 3RD FLOOR |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689183659 | Sarah Ann Gilliard | Pharmacist | 2300 Capital Avenue, Suite B27, Cheyenne, WY 82002 | 2017-09-21 |
| 1154501492 | Brent Donald Sherard | Community Health Worker | 2300 Capital Ave, Suite 401, Cheyenne, WY 82002-0001 | 2007-11-04 |
| 1366634396 | Wyoming Wic Program | Public Health or Welfare | 6101 Yellowstone Road, Suite 510, Cheyenne, WY 82002-0001 | 2007-08-14 |
| 1629114301 | Leslie Ann Fowler | Registered Nurse | 401 Hathaway Building, Cheyenne, WY 82002-0001 | 2007-01-29 |
| 1609921477 | Wyoming Department of Health | Public Health or Welfare | 6101 Yellowstone Rd Ste 420, Cheyenne, WY 82002-0001 | 2007-01-24 |
| 1194723254 | Roxanne Homar | Pharmacist | 2300 Capitol Ave, 117 Hathaway Bldg, Cheyenne, WY 82002-0001 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710470 | Erica Kaylynne Strautman | Occupational Therapist | 903 S Greeley Hwy Ste B, Cheyenne, WY 82007-3057 | 2020-11-03 |
| 1528667201 | Shine Forth LLC | Counselor | 6710 Willshire Blvd, Cheyenne, WY 82009-2757 | 2020-10-22 |
| 1710585476 | Amanda Marie Mccarty | Case Manager/Care Coordinator | 3122 Thomes Ave, Cheyenne, WY 82001-2552 | 2020-10-15 |
| 1013524628 | Mac Patrik Reynolds | Day Training, Developmentally Disabled Services | 620 W Prosser Rd Lot H, Cheyenne, WY 82007-3054 | 2020-09-28 |
| 1740896687 | Crave Nutrition Rd LLC | 1013 E Lincolnway, Cheyenne, WY 82001-4843 | 2020-09-16 | |
| 1205441052 | Melody Ann Raquet | Massage Therapist | 7124 Commons Dr Unit D, Cheyenne, WY 82009-2620 | 2020-09-09 |
| 1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
| 1891307559 | John Patrick Simpson | Community Health Worker | 409 W 24th St, Cheyenne, WY 82001-3522 | 2020-08-23 |
| 1437761194 | Dalia Assem | Community Health Worker | 725 Rodeo Ave, Cheyenne, WY 82009-1077 | 2020-08-23 |
| 1790397453 | Nicole R Jelinski | Case Management | 120 Mcfarland Ave, Cheyenne, WY 82007-2317 | 2020-08-23 |
| Find all providers in CHEYENNE | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667201 | Shine Forth LLC | Counselor | 6710 Willshire Blvd, Cheyenne, WY 82009-2757 | 2020-10-22 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1356841597 | Little Things Counseling | Counselor | 1603 Capitol Ave Ste 510a, Cheyenne, WY 82001-4563 | 2018-02-14 |
| 1225543374 | Changeabout Concepts LLC | Counselor | 1507 Carey Ave Ste 3, Cheyenne, WY 82001-4484 | 2017-12-12 |
| 1699216267 | Career Innovations | Counselor | 3411 Cleveland Ave, Cheyenne, WY 82001-2163 | 2017-03-16 |
| 1508314295 | Jennifer Brooke Rigg | Counselor | 1226 Alyssa Way, Cheyenne, WY 82009-3867 | 2016-09-12 |
| 1629444351 | Adam Elias Stuart-walker | Counselor | 1816 E 17th St, Cheyenne, WY 82001-5010 | 2015-08-17 |
| 1619227444 | Foundations Counseling & Consulting of Wyoming, LLC | Counselor | 2003 Central Ave, Cheyenne, WY 82001-3745 | 2012-09-19 |
| 1952690836 | Jamie Snyder | Counselor | 2000 Westland Rd Unit C, Cheyenne, WY 82001-3309 | 2011-03-31 |
| Find all providers in CHEYENNE | ||||
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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.