BEVERLY JEAN JULIAN (NPI# 1851767685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851767685 |
| Entity Type | Individual |
| Full Name | BEVERLY JEAN JULIAN |
| Credential | RN |
| Practice Address |
632 Coffeen Ave Sheridan WY 82801-5314 |
| Mailing Address |
26 Goldeneye Dr Sheridan WY 82801-9017 |
| Practice Telephone | 3076555510 |
| Mailing Telephone | 3077607768 |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 16687 | WY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1962882233 | 05 |
| Street Address |
632 COFFEEN AVE |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689709743 | Khanh Tran | Counselor | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2007-02-22 |
| 1982143939 | Michael Swan | Counselor | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2017-02-22 |
| 1528430857 | Lawrence Woodrow | Psychologist | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2015-10-26 |
| 1831566736 | Lori Green | Health Educator | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2015-08-26 |
| 1316321763 | Jessica Lee Powers | Case Manager/Care Coordinator | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2015-07-15 |
| 1962882233 | Inspire Psychological Center, LLC | Psychologist | 632 Coffeen Ave, Sheridan, NY 82801 | 2015-06-02 |
| 1235423641 | Anne Lee Quast | Counselor | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2011-06-02 |
| 1831325794 | Vivianne L Tran | Psychologist | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2009-06-05 |
| 1679792634 | Sandra Lee Natwick | Nurse Practitioner | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871029314 | Ellis Timothy Charles | Day Training, Developmentally Disabled Services | 511 Gladstone St, 511 Gladstone Street, Sheridan, WY 82801-4830 | 2017-05-03 |
| 1689923294 | Brenda Lee Henderson | Day Training, Developmentally Disabled Services | 2034 Summit Drive, Sheridan, WY 82801 | 2012-08-29 |
| 1861749046 | Michelle Kay Ritterbush | Day Training, Developmentally Disabled Services | 742 Harrison St, Sheridan, WY 82801-4619 | 2012-08-07 |
| 1972862647 | Emily Swinyer | Day Training, Developmentally Disabled Services | 6 Misty Moon Ln, Sheridan, WY 82801-9648 | 2012-05-15 |
| 1548587942 | Linda Denise Garretson | Day Training, Developmentally Disabled Services | 112 W 7th St, Sheridan, WY 82801-3009 | 2010-04-23 |
| 1942537980 | Jarod Raymond Martin | Day Training, Developmentally Disabled Services | 532 Val Vista St Ste 107, Sheridan, WY 82801-3655 | 2009-11-12 |
| 1235463464 | Nicole Lynn Marney | Day Training, Developmentally Disabled Services | 909 Illinois St, Sheridan, WY 82801-5234 | 2009-09-21 |
| 1366674954 | Saundra Farman | Day Training, Developmentally Disabled Services | 917 Leopard St, Sheridan, WY 82801-4623 | 2009-08-14 |
| 1730310434 | Shauna Kaye Bowers | Day Training, Developmentally Disabled Services | 649 Michael Dr, Sheridan, WY 82801-2920 | 2009-07-30 |
| 1033381652 | Jodi's Heart Inc. | Day Training, Developmentally Disabled Services | 1815 N Main St, Sheridan, WY 82801-2503 | 2008-03-25 |
| Find all providers in SHERIDAN | ||||
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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.