WOOD M PALMER (NPI# 1144836271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144836271 |
| Entity Type | Individual |
| Full Name | WOOD M PALMER |
| Practice Address |
610 W Broadway Ave Ste L1 Jackson WY 83001-8213 |
| Mailing Address |
Po Box 11390 Jackson WY 83002-1390 |
| Practice Telephone | 3077333908 |
| Practice Fax Number | 3077340017 |
| Mailing Telephone | 3077333908 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | DS-2020-057 | WY | Other Service Providers |
| Street Address |
610 W BROADWAY AVE STE L1 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225469661 | Robert Bragg | Counselor | 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 | 2013-12-11 |
| 1497384515 | Ryann N Linthicum | Social Worker | 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 | 2020-04-02 |
| 1497303853 | Heather Noelle Franklin | Social Worker | 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 | 2019-08-29 |
| 1518513852 | Hillary Lavino | Social Worker | 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 | 2019-08-13 |
| 1033645825 | Jamie R Lasden | Social Worker | 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 | 2017-05-11 |
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100244 | Vickie Lynn Kittle | Peer Specialist | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-02 |
| 1588229355 | Christine Ann Kint | Peer Specialist | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-05-07 |
| 1285298638 | Douglas Laverne Brinker | Peer Specialist | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1578031639 | Trina M Krepcik | Peer Specialist | 1406 S Boxelder St Apt 1, Casper, WY 82604-3374 | 2018-11-07 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1316310105 | Emileigh Hillstead | Peer Specialist | 419 4th St, Evanston, WY 82930-3616 | 2015-11-03 |
| 1265065973 | Jennifer Nicole Rossiter | Peer Specialist | 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 | 2020-02-20 |
| 1073155339 | Chellidy Simpson | Peer Specialist | 121 S 4th St, Thermopolis, WY 82443-2634 | 2019-10-08 |
| 1255998423 | Tanya A Tsukas | Peer Specialist | 1701 W 5th St Ste C, Sheridan, WY 82801-2749 | 2019-05-23 |
| 1386115285 | Adam Christensen | Peer Specialist | 389 Adams St, Afton, WY 83110 | 2018-12-17 |
| 1639649072 | Gwen A Andrews | Peer Specialist | 501 S Burma Ave, Gillette, WY 82716-3426 | 2018-11-28 |
| 1386110849 | Michaela Mary Tschirhart | Peer Specialist | 1110 Major Ave, Riverton, WY 82501-2342 | 2018-10-22 |
| 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.