MR. JESSE WEBER (NPI# 1467993402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467993402 |
| Entity Type | Individual |
| Full Name | MR. JESSE WEBER |
| Other Name | JESSICA RIDGE |
| Practice Address |
3123 Iron Mountain Rd Cheyenne WY 82009-9607 |
| Practice Telephone | 3074216537 |
| Mailing Telephone | 3074216537 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713199 | Jesse Joseph Weber | Pharmacist | 2700 New Pinery Rd, Portage, WI 53901-9221 | 2020-02-25 |
| 1184199952 | Jesse Thomas Weber | Specialist/Technologist | 620 N 18th St, Bismarck, ND 58501-4359 | 2018-10-09 |
| Street Address |
3123 IRON MOUNTAIN RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336502905 | Felicia Raimondi | Day Training, Developmentally Disabled Services | 3123 Iron Mountain Rd, Cheyenne, WY 82009-9607 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| 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 |
|---|---|---|---|---|
| 1013524628 | Mac Patrik Reynolds | Day Training, Developmentally Disabled Services | 620 W Prosser Rd Lot H, Cheyenne, WY 82007-3054 | 2020-09-28 |
| 1235751389 | B.a.c.a. Case Managment LLC | Day Training, Developmentally Disabled Services | 6500 Longabaugh Way, Cheyenne, WY 82009-9699 | 2020-05-12 |
| 1073009403 | Christopher Aaron Grooms | Day Training, Developmentally Disabled Services | 1745 E 22nd St, Cheyenne, WY 82001-4138 | 2018-07-09 |
| 1689119695 | Kristy Wilmarth | Day Training, Developmentally Disabled Services | 3339 Grove Dr, Cheyenne, WY 82001-1755 | 2016-12-29 |
| 1558804682 | Jahnice Marie Samson | Day Training, Developmentally Disabled Services | 708 E Longhorn Rd, Cheyenne, WY 82009-1102 | 2016-11-21 |
| 1851841852 | Chassity Wiederspahn | Day Training, Developmentally Disabled Services | 1502 Crook Ave, Cheyenne, WY 82001-5322 | 2016-10-13 |
| 1326594433 | Ashley Singleton | Day Training, Developmentally Disabled Services | 1008 Melody Ln, Cheyenne, WY 82007-2753 | 2016-08-29 |
| 1336502905 | Felicia Raimondi | Day Training, Developmentally Disabled Services | 3123 Iron Mountain Rd, Cheyenne, WY 82009-9607 | 2016-03-31 |
| 1477915536 | Stacie Rayl | Day Training, Developmentally Disabled Services | 4602 E 10th St, Cheyenne, WY 82001-6704 | 2016-03-27 |
| 1588020747 | Stacy Strasser | Day Training, Developmentally Disabled Services | 8704 Cowpoke Rd, Cheyenne, WY 82009-1236 | 2016-01-04 |
| Find all providers in CHEYENNE | ||||
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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.