DR. NILS CHARLES WESTFALL (NPI# 1992047682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992047682 |
| Entity Type | Individual |
| Full Name | DR. NILS CHARLES WESTFALL |
| Credential | M.D. |
| Practice Address |
555 E Broadway Ave Ste 204 Jackson WY 83001-8640 |
| Mailing Address |
Po Box 428 Jackson WY 83001-0428 |
| Practice Telephone | 3077394818 |
| Practice Fax Number | 3077394866 |
| Mailing Telephone | 3077394818 |
| Mailing Fax Number | 3077394866 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
TL6329 | WY | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DR.0060044 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000164774 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 028869 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7701 Sheridan Blvd, Westminster, CO 800032605 | 3033384545 |
| Street Address |
555 E BROADWAY AVE STE 204 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699752089 | Kathleen M Logan | Psychiatry & Neurology | 555 E Broadway Ave Ste 204, Jackson, WY 83001-8640 | 2005-12-27 |
| 1295850014 | Jeff Decker | Counselor | 555 E Broadway Ave Ste 204, Jackson, WY 83001-8640 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1841337656 | Cynthia Lufkin Undesser | Psychiatry & Neurology | 402 Wesley Ave, Jackson, MS 39202-1000 | 2007-01-31 |
| 1922372697 | Integrated Family Services, Pllc | Psychiatry & Neurology | 9486 Nc Hwy 305, Jackson, NC 27845-9679 | 2012-02-28 |
| 1548357643 | Scott Rodgers | Psychiatry & Neurology | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710071071 | Sandra K Nelson | Psychiatry & Neurology | 424 Yellowstone Ave., Ste 220, Cody, WY 82414 | 2006-10-03 |
| 1902001506 | Lida D Prypchan | Psychiatry & Neurology | 2521 E 15th St, Casper, WY 82609 | 2007-06-15 |
| 1285710533 | Steven L. Brown M.d. | Psychiatry & Neurology | 2417 E 15th St, Casper, WY 82609-2942 | 2006-10-30 |
| 1649353210 | Stephen L Brown | Psychiatry & Neurology | 2417 E 15th St, Casper, WY 82609 | 2006-10-24 |
| 1518074442 | Robin C Eicher | Psychiatry & Neurology | 2600 E 18th St, Cheyenne, WY 82001-5511 | 2006-08-24 |
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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.