KENDRA LEA TILLEY (NPI# 1619480621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619480621 |
| Entity Type | Individual |
| Full Name | KENDRA LEA TILLEY |
| Credential | RPSGT |
| Practice Address |
2360 E Pershing Blvd Cheyenne WY 82001-5356 |
| Mailing Address |
1733 Globe Ct Fort Collins CO 80528-6205 |
| Practice Telephone | 3077787550 |
| Mailing Telephone | 3167371373 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 12910 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2360 E PERSHING BLVD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207303 | Robert W Weinland | Nurse Practitioner | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2005-06-30 |
| 1437756244 | Kathryn Marie Marks | Dietitian, Registered | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-10-05 |
| 1720685753 | Cheyenne Vamc | Clinic/Center | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-10-02 |
| 1710593686 | Koltyn Barber | Recreation Therapist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-09-16 |
| 1780209189 | Lindsey Snyder | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-06-11 |
| 1750906194 | Patrick David Cuin | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-06-11 |
| 1821612458 | Victoria Guter Cronin | Social Worker | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-05-29 |
| 1104446905 | Aaron Mcdaniel | Internal Medicine | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-04-21 |
| 1043840614 | Kraig Martin Patriquin | Social Worker | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2020-01-22 |
| 1659914463 | Melissa Ann Baker | Respiratory Therapist, Registered | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 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 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307799 | Meghan Rebecca Metz | Technician, Other | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2019-07-05 |
| 1376997676 | Brandon Christopher Byrd | Technician, Other | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2016-04-22 |
| 1366603656 | Western Sleep Medicine, LLC | Technician, Other | 620 W 19th St, Cheyenne, WY 82001-4307 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
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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.