JESSE STARK MORSE BRADY (NPI# 1205492584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205492584 |
| Entity Type | Individual |
| Full Name | JESSE STARK MORSE BRADY |
| Credential | CNP |
| Practice Address |
815 E Main St Lander WY 82520-3491 |
| Practice Telephone | 3073329720 |
| Practice Fax Number | 3073328206 |
| Mailing Telephone | 3073329720 |
| Mailing Fax Number | 3073328206 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 34354 | WY | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 44515 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1223 E Park Ave, Riverton, WY 825013876 | 3078567071 | 3078564680 |
| Street Address |
815 E MAIN ST |
| City | LANDER |
| State | WY |
| Zip Code | 82520-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174879647 | Fremont Orthopaedics PC | Durable Medical Equipment & Medical Supplies | 815 E Main St, Lander, WY 82520-3491 | 2012-08-02 |
| 1285928945 | Ben S. Francisco | Orthopaedic Surgery | 815 E Main St, Lander, WY 82520-3491 | 2011-05-30 |
| 1497077622 | Michael Pryor, M.d., P.C. | Orthopaedic Surgery | 815 E Main St, Lander, WY 82520-3491 | 2010-02-15 |
| 1225276140 | Hiller Orthopedic Associates, LLC | Orthopaedic Surgery | 815 E Main St, Lander, WY 82520-3491 | 2009-01-30 |
| 1952586158 | Cornelius Britt Md PC | Durable Medical Equipment & Medical Supplies | 815 E Main St, Lander, WY 82520-3491 | 2008-01-07 |
| 1629179247 | Michael W Pryor | Orthopaedic Surgery | 815 E Main St, Lander, WY 82520-3491 | 2006-09-26 |
| 1649375502 | John A Whipp | Orthopaedic Surgery | 815 E Main St, Lander, WY 82520-3491 | 2006-09-14 |
| 1124123815 | Fremont Orthopaedic Associates, PC | Durable Medical Equipment & Medical Supplies | 815 E Main St, Lander, WY 82520-3491 | 2006-09-14 |
| 1811099450 | Christopher Harold Erschen | Physician Assistant | 815 E Main St, Lander, WY 82520-3491 | 2006-09-03 |
| 1396857108 | Cory J Lamblin | Orthopaedic Surgery | 815 E Main St, Lander, WY 82520-3491 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891924213 | Sarah Jane Penn | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902458284 | Sarah Elizabeth Whitlock | Nurse Practitioner | 1221 Southfork Rd, Cody, WY 82414-8122 | 2019-07-16 |
| 1871062349 | Nichole Marie Taylor | Nurse Practitioner | 801 E 4th St Ste 14a, Gillette, WY 82716-4061 | 2018-11-14 |
| 1013484187 | Nicolette Hanson | Nurse Practitioner | 2552 Rainbow Dr, Casper, WY 82604-5110 | 2018-10-26 |
| 1336633577 | Angelia Dawn Lomu | Nurse Practitioner | 120 S Forest Dr, Casper, WY 82609-2239 | 2018-06-20 |
| 1316449275 | Ibukun Oluwatosin Ojifinni | Nurse Practitioner | 2620 Commercial Way Ste 120, Rock Springs, WY 82901-4746 | 2018-03-06 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1437401494 | Colby Butler | Nurse Practitioner | 6500 E 2nd St Ste 101, Casper, WY 82609-4339 | 2012-10-15 |
| 1093020752 | Jammie Dawn Corona | Nurse Practitioner | 2024 Black Jack Loop, Unit A, Cheyenne, WY 82001-7272 | 2010-08-18 |
| 1083835359 | Colleen Alise Lemagie | Nurse Practitioner | 206 South Seventh Street, Worland, WY 82401 | 2007-05-02 |
| 1972631208 | Nancy Lee White | Nurse Practitioner | 328 Prairie Hills Dr, Cheyenne, WY 82009-3406 | 2007-02-28 |
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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.