KATHLEEN L. OTTE (NPI# 1750429262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750429262 |
Entity Type | Organization |
Organization Name | KATHLEEN L. OTTE |
Practice Address |
382 N Lincoln St Laramie WY 82070-6100 |
Practice Telephone | 3077212120 |
Mailing Telephone | 3077212120 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. KATHLEEN LYNN OTTE (PROVIDER) |
Authorized Official Telephone | 3077212120 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
Street Address |
382 N LINCOLN ST |
City | LARAMIE |
State | WY |
Zip Code | 82070-6100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
Find all providers in zip 82070 |
Taxonomy Code | 385HR2060X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942830823 | Toni Rae Vavra-wilder | Respite Care | 2407 E 16th St, Cheyenne, WY 82001-5307 | 2020-01-20 |
1013454438 | Shelby Elliott | Respite Care | 1634 Jim Bridger Ave, Casper, WY 82604-3121 | 2017-01-23 |
1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
1356632087 | Candice Rae Gronberg | Respite Care | 4 Roberts Road, Lander, WY 82520-1401 | 2011-04-28 |
1669601217 | Jy Adekale Global Initiative | Respite Care | 4913 Ridge Rd, Cheyenne, WY 82009-5309 | 2009-07-03 |
1316181167 | Danielle Marie Naughton | Respite Care | 1931 S Washington St, Casper, WY 82601-4855 | 2009-04-23 |
1184893026 | Hope Unlimited,inc | Respite Care | 133 Shady Ln, Evanston, WY 82930-4761 | 2008-02-25 |
1689866790 | Mark Alan Courtney | Respite Care | 2508 Central Ave, Cody, WY 82414-9797 | 2007-08-13 |
1730380106 | Heather Louise Haskell | Respite Care | 261 Shipwheel Rd, Moorcroft, WY 82721 | 2007-05-31 |
1538370895 | Cheyenne Assisted Living & Support | Respite Care | 807 Mitchell Ct, Cheyenne, WY 82007-2814 | 2007-05-25 |
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.