KERISTYN J CARRELL (NPI# 1457396962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457396962 |
| Entity Type | Individual |
| Full Name | KERISTYN J CARRELL |
| Other Name | KERISTYN JO SULLIVAN |
| Credential | NP |
| Practice Address |
1125 Charles Ave Worland WY 82401-4021 |
| Practice Telephone | 3073472449 |
| Practice Fax Number | 3073476187 |
| Mailing Telephone | 3073472449 |
| Mailing Fax Number | 3073476187 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 20520.0819 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1125 CHARLES AVE |
| City | WORLAND |
| State | WY |
| Zip Code | 82401-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666332 | Hot Springs County Hospital District | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2020-04-01 |
| 1255824900 | Caitlin Herdrick | Occupational Therapist | 1125 Charles Ave, Worland, WY 82401-4021 | 2018-06-07 |
| 1154836617 | Cowboy Medical Group PC | Family Medicine | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-12-06 |
| 1811401821 | Cowboy Medical Group PC | Family Medicine | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-11-29 |
| 1629518220 | Jeremiah Cannon | Nurse Practitioner | 1125 Charles Ave, Worland, WY 82401-4021 | 2017-03-01 |
| 1528500683 | Tess Williams | Physical Therapist | 1125 Charles Ave, Worland, WY 82401-4021 | 2016-11-07 |
| 1023247624 | Red Rock Family Practice, Inc | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2009-07-06 |
| 1932338530 | Red Rock Family Practice, Inc | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284107 | Margaret Joan Mcdaniel | Registered Nurse | 1910 Sage Crossing Ave, Worland, WY 82401 | 2020-01-09 |
| 1902365240 | Worland Pharmacy Inc. | Pharmacy | 1095 Circle Rd, Worland, WY 82401 | 2019-03-17 |
| 1023547155 | Deborah J Anderson | Counselor | 401 South 23rd St, Worland, WY 82401 | 2017-06-12 |
| 1265808273 | Tang Mo Wong | Occupational Therapist | 1910 Howell Avenue, Worland, WY 82401 | 2015-08-12 |
| 1063783389 | William Jonas Tempany | Counselor | 406 S 6, Basin, WY 82401 | 2012-01-18 |
| 1609009133 | Sharon Eisele | Case Manager/Care Coordinator | 1216 Ti Bi Yek, Worland, WY 82401 | 2009-09-01 |
| 1295997013 | Benjamin B Wilde | Family Medicine | 1405 Howell, Worland, WY 82401 | 2008-07-02 |
| 1134390552 | Linda Kay Hausner | Registered Nurse | 401 South 23rd Street, 401 South 23rd Street, Worland, WY 82401 | 2008-03-13 |
| 1033302047 | Lisa Anne Stephens | Physical Therapist | 1313 Big Horn Ave, Worland, WY 82401 | 2007-08-22 |
| 1316147952 | Jeffries Dental, P.C. | Dentist | 3313 Paintbrush Lane, Worland, WY 82401 | 2007-07-23 |
| Find all providers in zip 82401 | ||||
| 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 |
|---|---|---|---|---|
| 1083835359 | Colleen Alise Lemagie | Nurse Practitioner | 206 South Seventh Street, Worland, WY 82401 | 2007-05-02 |
| 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 |
| 1972631208 | Nancy Lee White | Nurse Practitioner | 328 Prairie Hills Dr, Cheyenne, WY 82009-3406 | 2007-02-28 |
| 1104999747 | Ann Marie Hart | Nurse Practitioner | 501 S 11th St, Laramie, WY 82070-4011 | 2006-11-15 |
| 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.