SUSAN GAIL WOLFF (NPI# 1558912477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558912477 |
| Entity Type | Individual |
| Full Name | SUSAN GAIL WOLFF |
| Credential | PMH-NP |
| Practice Address |
745 Buena Vista Dr Lander WY 82520-3431 |
| Mailing Address |
4150 Glory Vista Ter Jackson WY 83001-8997 |
| Practice Telephone | 3073322941 |
| Mailing Telephone | 3076904368 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
44657 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 E Pearl Ave Ste 207, Jackson, WY 830018599 | 3032032656 |
| Street Address |
745 BUENA VISTA DR |
| City | LANDER |
| State | WY |
| Zip Code | 82520-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303216 | Jan K. Siebersma | Obstetrics & Gynecology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2005-06-01 |
| 1093203069 | Kristine Marie Cardinal | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2018-04-25 |
| 1538688015 | Anna Felton | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2017-09-15 |
| 1699200451 | Regina Ommen | Advanced Practice Midwife | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2017-04-28 |
| 1861821837 | Julia Fairbank | Physician Assistant | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-11-10 |
| 1073856225 | Broc Codi White | Family Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-04-05 |
| 1700123288 | Gannett Peak Physical Medicine LLC | Physical Medicine & Rehabilitation | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-01-03 |
| 1407109762 | Michael R. Swenson | Psychiatry & Neurology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2012-10-23 |
| 1073811584 | Shirley E Schatza | Nurse Practitioner | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2011-03-08 |
| 1245556190 | Clinton Mcmahill | Internal Medicine | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2010-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1932742210 | Timothy Joseph Barnes | Nurse Practitioner | 1617 Evans Ave Apt 1, Cheyenne, WY 82001-4698 | 2019-10-19 |
| 1639729056 | Sherra Stclair | Nurse Practitioner | 121 E Grand Ave Ste 204, Laramie, WY 82070-3600 | 2019-09-17 |
| 1295291102 | New Horizons Nichole Taylor Pmhnp-bc | Nurse Practitioner | 2001 W Lakeway Rd Ste C, Gillette, WY 82718-5774 | 2019-02-15 |
| 1528558004 | Open Range Telepsychiatry LLC | Nurse Practitioner | 30 N Gould St Ste 7141, Sheridan, WY 82801-6362 | 2018-05-10 |
| 1093117210 | Teecee Ann Hailey-fulfer | Nurse Practitioner | 770 W Collins Dr Ste 200, Casper, WY 82601-2300 | 2014-09-18 |
| 1831505262 | Advanced Practice, LLC | Nurse Practitioner | 733 Big Horn Ave, Suite 1, Worland, WY 82401-2605 | 2014-07-07 |
| 1629320775 | Sunlight Psychiatry | Nurse Practitioner | 145 N Bernard St, Powell, WY 82435-2617 | 2012-10-12 |
| 1750658944 | Jenny M Heuck | Nurse Practitioner | 1400 Pioneer Rd, Sheridan, WY 82801-3334 | 2011-11-16 |
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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.