MRS. JACQUELINE GALE RETHERFORD (NPI# 1467764019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467764019 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE GALE RETHERFORD |
| Credential | MS NP |
| Practice Address |
111 S 5th St Douglas WY 82633-2434 |
| Practice Telephone | 3073587300 |
| Mailing Telephone | 3073587300 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP 19602 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 S 5TH ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670267 | Phillip O Tigert | Physician Assistant | 111 S 5th St, Douglas, WY 82633-2434 | 2005-06-28 |
| 1972110138 | Melanie Hummert | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-09-30 |
| 1467070730 | Jordon Jacklin | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-07-13 |
| 1225662216 | Sara Marie Thronburg | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2020-02-27 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| 1043867872 | Aaron Bernal | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-26 |
| 1033765821 | Hannah Williams | Occupational Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-16 |
| 1710457601 | Michael Jeremey Littleton | Emergency Medical Technician, Paramedic | 111 S 5th St, Douglas, WY 82633-2434 | 2018-12-04 |
| 1275054751 | Shelby Hoskinson | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2017-07-05 |
| 1811447956 | Melissa Renee Bulkley | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1235611468 | Jessica Renee Snyder | Social Worker | 1841 Madora Ave, Douglas, WY 82633 | 2018-09-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417295601 | Amanda Bice | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2013-01-22 |
| 1982869475 | Mary K Mcneff | Nurse Practitioner | 1100 F Ave, Douglas, AZ 85607-1919 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280418 | Naturally Beautiful You | Nurse Practitioner | 4510 E 22nd St, Casper, WY 82609-4659 | 2020-03-21 |
| 1811092810 | Candace Marie Tull | Nurse Practitioner | 107736 Hwy 89, Etna, WY 83118 | 2006-09-14 |
| 1386623239 | Nancy Jane Potter | Nurse Practitioner | 1915 Oxford Lane, Suite 101, Casper, WY 82604 | 2006-01-10 |
| 1104366806 | Leah M Albrecht | Nurse Practitioner | 1304 W 4th St, Gillette, WY 82716-3330 | 2017-02-28 |
| 1396167508 | Judy Nicksich | Nurse Practitioner | 333 Broadway St, Ste. 120, Rock Springs, WY 82901-6243 | 2014-01-08 |
| 1093147787 | Cathy Berens, PC | Nurse Practitioner | 940 East 3rd Street, Suite 107, Casper, WY 82601-3200 | 2013-08-05 |
| 1346481389 | Maryellen Agnes Riley | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072 | 2009-03-22 |
| 1679772677 | Becky Lynn Olson | Nurse Practitioner | 1333 W 5th St, Ste 210, Sheridan, WY 82801-2752 | 2007-07-11 |
| 1902850464 | Ruth C Zebroski | Nurse Practitioner | 1460 Main St, Lander, WY 82520-2657 | 2006-05-20 |
| 1265497184 | Linda Arlene Thyfault | Nurse Practitioner | 100 Central Ave, Cheyenne, WY 82007-1330 | 2006-04-20 |
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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.