TEECEE ANN HAILEY-FULFER (NPI# 1093117210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093117210 |
| Entity Type | Individual |
| Full Name | TEECEE ANN HAILEY-FULFER |
| Credential | APRN, PMHNP-BC |
| Practice Address |
770 W Collins Dr Ste 200 Casper WY 82601-2300 |
| Mailing Address |
4801 Yesness Ct Casper WY 82604-5205 |
| Practice Telephone | 3073335757 |
| Practice Fax Number | 3072157879 |
| Mailing Telephone | 2542581217 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
27666.1343 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 139060100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2417 E 15th St, Casper, WY 826092942 | 3072343638 | 3074722259 |
| Street Address |
770 W COLLINS DR STE 200 |
| City | CASPER |
| State | WY |
| Zip Code | 82601-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306406509 | Kintsugi Psychiatry, LLC | Clinic/Center | 770 W Collins Dr Ste 200, Casper, WY 82601-2300 | 2019-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639701899 | A Beautiful Mind LLC | Nurse Practitioner | 145 S Durbin St Ste 207, Casper, WY 82601-2566 | 2020-02-06 |
| 1548418114 | Robin Michelle Decastro | Nurse Practitioner | 1430 Wilkins Circle, Casper, WY 82601-1336 | 2008-09-08 |
| 1790868370 | Donna M Nurss | Nurse Practitioner | 1300 East A Street, Ste 201, Casper, WY 82601-2252 | 2006-10-24 |
| 1619500097 | Hanna Powers | Nurse Practitioner | 2521 E 15th St, Casper, WY 82609-4126 | 2020-02-13 |
| 1053877654 | Instacare Center of Wyoming - West, Inc | Nurse Practitioner | 900 Cy Ave, Casper, WY 82601-4174 | 2019-02-19 |
| 1134694383 | Michelle Lee Hipsak | Nurse Practitioner | 900 Cy Ave, Casper, WY 82601-4174 | 2018-10-03 |
| 1295220242 | Frontier Behavioral Health, LLC | Nurse Practitioner | 2435 King Blvd Ste 313, Casper, WY 82604-3169 | 2018-06-22 |
| 1205268513 | Jennifer Frausto | Nurse Practitioner | 1300 E A St Ste 201, Casper, WY 82601-2252 | 2013-08-09 |
| 1821251067 | Donna Nurss, P.C. | Nurse Practitioner | 130 N Ash St, Ste. 102, Casper, WY 82601-1821 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511981 | Nurture Mental Health & Wellness Center LLC | Nurse Practitioner | 125 S King St Ste 2a, Jackson, WY 83001-8124 | 2020-09-07 |
| 1932742210 | Timothy Joseph Barnes | Nurse Practitioner | 1617 Evans Ave Apt 1, Cheyenne, WY 82001-4698 | 2019-10-19 |
| 1639729056 | Sherra Stclair | Nurse Practitioner | 121 E Grand Ave Ste 204, Laramie, WY 82070-3600 | 2019-09-17 |
| 1295291102 | New Horizons Nichole Taylor Pmhnp-bc | Nurse Practitioner | 2001 W Lakeway Rd Ste C, Gillette, WY 82718-5774 | 2019-02-15 |
| 1528558004 | Open Range Telepsychiatry LLC | Nurse Practitioner | 30 N Gould St Ste 7141, Sheridan, WY 82801-6362 | 2018-05-10 |
| 1831505262 | Advanced Practice, LLC | Nurse Practitioner | 733 Big Horn Ave, Suite 1, Worland, WY 82401-2605 | 2014-07-07 |
| 1629320775 | Sunlight Psychiatry | Nurse Practitioner | 145 N Bernard St, Powell, WY 82435-2617 | 2012-10-12 |
| 1750658944 | Jenny M Heuck | Nurse Practitioner | 1400 Pioneer Rd, Sheridan, WY 82801-3334 | 2011-11-16 |
| 1932427671 | Miriam A Davidson | Nurse Practitioner | 350 City View Dr Ste 302, Evanston, WY 82930-5307 | 2010-05-05 |
| 1609023878 | Quality of Life, P.C. | Nurse Practitioner | 506 Birch St., Glenrock, WY 82637 | 2008-08-19 |
| 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.