SHOSHONE TRIBE EARLY INTERVENTION PROGRAM (NPI# 1558425207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558425207 |
| Entity Type | Organization |
| Organization Name | SHOSHONE TRIBE EARLY INTERVENTION PROGRAM |
| Practice Address |
90 Ethete Road Fort Washakie WY 82514-0610 |
| Mailing Address |
Po Box 610 Fort Washakie WY 82514-0610 |
| Practice Telephone | 3073323516 |
| Practice Fax Number | 3073329116 |
| Mailing Telephone | 3073323516 |
| Mailing Fax Number | 3073329116 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH J SMITH JR. (FINANCE MANAGER) |
| Authorized Official Telephone | 3073323516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | WY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134283856 | Shoshone Tribe Early Intervention Program | Case Management | 90 Ethete Road, Ft. Washakie, WY 82514 | 2006-12-20 |
| Street Address |
90 ETHETE ROAD |
| City | FORT WASHAKIE |
| State | WY |
| Zip Code | 82514-0610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104152388 | Early Intervention Program | Day Training, Developmentally Disabled Services | 90 Ethete Road, Fort Washakie, WY 82514 | 2009-10-23 |
| 1003020744 | Dehning Jo Dehning | Physical Therapist | 90 Ethete Road, Fort Washakie, WY 82514 | 2007-05-10 |
| 1417003161 | Jan S Keith | Occupational Therapy Assistant | 90 Ethete Road, Fort Washakie, WY 82514 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527819 | Melissa Rose Pine | Registered Nurse | 29 Blackcole Road, Fort Washakie, WY 82514 | 2019-09-19 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1649789025 | Rebecca Charlene Willis | Technician, Other | Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 | 2017-09-28 |
| 1033553185 | Pauline Elizabeth Powers-peprah | Family Medicine | 29 Black Cole, Fort Washakie, WY 82514 | 2013-04-19 |
| 1528319373 | Amanda L Schultz | Licensed Practical Nurse | 110 Sharpnose Road, Fort Washakie, WY 82514 | 2012-09-19 |
| 1770898140 | Kelly Lynne Pretty Weasel | Clinic/Center | 29 Blackcole Dr, Fort Washakie, WY 82514 | 2010-08-10 |
| 1285950170 | Debra Kay Waters | Technician, Pathology | Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 | 2010-04-16 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1922339449 | Nina Williams | Spec/Tech, Pathology | Black Coal Rd Bldg 29, Ft Washakie, WY 82514 | 2010-01-22 |
| Find all providers in zip 82514 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360442 | Individual Career Transitions, LLC | Local Education Agency (LEA) | 1712 Pioneer Ave Ste 2492, Cheyenne, WY 82001-4406 | 2020-06-15 |
| 1437606464 | Misty Renee Strand Schmidt | Local Education Agency (LEA) | 301 W B St, Casper, WY 82601-1811 | 2016-09-07 |
| City | FORT WASHAKIE |
| Zip Code | 82514 |
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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.