CHRISTA J KOVACHEVICH (NPI# 1649642034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649642034 |
| Entity Type | Individual |
| Full Name | CHRISTA J KOVACHEVICH |
| Credential | ARNP, CPNP-PC |
| Practice Address |
1307 Crook Ave Cheyenne WY 82001-5412 |
| Mailing Address |
2076 Painted Sky Rd Cheyenne WY 82009-9196 |
| Practice Telephone | 3213133595 |
| Mailing Telephone | 3213133595 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
43135 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
9390419 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016218600 | 05 |
| Street Address |
1307 CROOK AVE |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087993 | Pony Express Pediatrics, LLC | Nurse Practitioner | 1307 Crook Ave, Cheyenne, WY 82001-5412 | 2019-08-08 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087993 | Pony Express Pediatrics, LLC | Nurse Practitioner | 1307 Crook Ave, Cheyenne, WY 82001-5412 | 2019-08-08 |
| 1881830636 | Collin D. Prince | Nurse Practitioner | 4116 Laramie St, Cheyenne, WY 82001-1969 | 2008-12-29 |
| 1972785731 | Jennifer L Guernsey | Nurse Practitioner | 2301 House Ave, 405, Cheyenne, WY 82001-3176 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255713194 | Venessa Yoosook | Nurse Practitioner | 940 E 3rd St Ste 102, Casper, WY 82601-3200 | 2015-06-28 |
| 1730730771 | Tamara S Walker | Nurse Practitioner | 1180 College Dr, Rock Springs, WY 82901-5863 | 2019-09-20 |
| 1184123556 | Aven Garms Glazer | Nurse Practitioner | 14 Great Plains Road, Arapahoe, WY 82510 | 2018-02-12 |
| 1306238654 | Patricia Lea Shue | Nurse Practitioner | 1016 W Spruce St Unit A, Rawlins, WY 82301-5371 | 2015-02-24 |
| 1497144612 | Kelly Smerling | Nurse Practitioner | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2015-01-12 |
| 1942546015 | Rachel Anne Helms | Nurse Practitioner | 1300 W 4th St, Gillette, WY 82716-3330 | 2012-12-18 |
| 1538365895 | Holly Ann Hink II | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2007-06-25 |
| 1730300237 | Janet Somlyay | Nurse Practitioner | 311 S 2nd St, Laramie, WY 82070-3611 | 2007-05-01 |
| 1306992680 | Lorraine Maria Reed | Nurse Practitioner | 350 N Ash St, Casper, WY 82601-1808 | 2007-01-26 |
| 1609921824 | Elizabeth R. D. Smith | Nurse Practitioner | 2710 E Harney St, Suite 100, Laramie, WY 82072-2884 | 2007-01-25 |
| Find all providers with the same taxonomy | ||||
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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.