MS. MARYA NICOLE JOHNS (NPI# 1417127887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417127887 |
| Entity Type | Individual |
| Full Name | MS. MARYA NICOLE JOHNS |
| Practice Address |
311 Hillcrest Way Green River WY 82935-4006 |
| Mailing Address |
311 Hillcrest Way P.o. Box 1172 Green River WY 82935-4006 |
| Practice Telephone | 3078702205 |
| Mailing Telephone | 3078702205 |
| Enumeration Date | 2008-03-02 |
| Last Update Date | 2008-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | WY | Agencies |
| Street Address |
311 HILLCREST WAY |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| 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 |
|---|---|---|---|---|
| 1629301437 | Cathie L. Hughes | Day Training, Developmentally Disabled Services | 280 Monroe Ave, Green River, WY 82935-5129 | 2009-09-10 |
| 1215131420 | Maria Antillon | Day Training, Developmentally Disabled Services | 720 Wind River Dr, B, Green River, WY 82935-5725 | 2007-06-12 |
| 1730201120 | Life Skills of Wyoming, L.L.C. | Day Training, Developmentally Disabled Services | 350 Hillcrest Way, Green River, WY 82935-4007 | 2007-04-04 |
| 1538366505 | Alfredo Antillon | Day Training, Developmentally Disabled Services | 720 Wind River Dr, B, Green River, WY 82935-5725 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524628 | Mac Patrik Reynolds | Day Training, Developmentally Disabled Services | 620 W Prosser Rd Lot H, Cheyenne, WY 82007-3054 | 2020-09-28 |
| 1780201483 | Richard Doug Bebout | Day Training, Developmentally Disabled Services | 535 Pioneer Ave, Riverton, WY 82501-3248 | 2020-06-29 |
| 1376169128 | Jodi Thornhill | Day Training, Developmentally Disabled Services | 900 Camel Dr. Ste. Gg, Pmb #154, Gillette, WY 82716-4974 | 2020-06-17 |
| 1235751389 | B.a.c.a. Case Managment LLC | Day Training, Developmentally Disabled Services | 6500 Longabaugh Way, Cheyenne, WY 82009-9699 | 2020-05-12 |
| 1861012866 | Aunkia Fowler and Associates LLC | Day Training, Developmentally Disabled Services | 8101 Shady Lane, Evansville, WY 82636 | 2020-04-20 |
| 1194356782 | Rebekah Vondenkamp | Day Training, Developmentally Disabled Services | 832 Walnut St, Rock Springs, WY 82901-7104 | 2020-01-31 |
| 1689224305 | Care Partners of Wyoming | Day Training, Developmentally Disabled Services | 142 N Melrose St, Casper, WY 82601-2735 | 2019-09-14 |
| 1366910770 | Haley D Gray | Day Training, Developmentally Disabled Services | 3800 Overdale Dr, Gillette, WY 82718-7633 | 2018-11-05 |
| 1578043006 | Elaina Elizabeth Oliver | Day Training, Developmentally Disabled Services | 3832 Andersen Ln, Wilson, WY 83014-9194 | 2018-08-15 |
| 1073009403 | Christopher Aaron Grooms | Day Training, Developmentally Disabled Services | 1745 E 22nd St, Cheyenne, WY 82001-4138 | 2018-07-09 |
| Find all providers with the same taxonomy | ||||
| City | GREEN RIVER |
| Zip Code | 82935 |
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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.