MRS. JACKIE LYNN SMITH-LAPP (NPI# 1619412715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619412715 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE LYNN SMITH-LAPP |
| Credential | FNP-C |
| Practice Address |
3632 American Way Casper WY 82604-3164 |
| Practice Telephone | 3072337300 |
| Mailing Telephone | 3072337300 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22070.1582 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3632 AMERICAN WAY |
| City | CASPER |
| State | WY |
| Zip Code | 82604-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861460289 | Debra Lee Griner | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3632 | 2006-03-10 |
| 1285283754 | Avery Ann Michel | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3164 | 2019-09-08 |
| 1114572294 | Daoreuang Deedey Kidney | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3164 | 2019-08-06 |
| 1881176824 | Robert Deal | Student in an Organized Health Care Education/Training Program | 3632 American Way, Casper, WY 82604-3164 | 2018-09-06 |
| 1093248114 | Donald Coulter | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3164 | 2017-04-05 |
| 1477003192 | Angela Lee Booth | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3164 | 2016-10-05 |
| 1477901106 | Emily Clayton | Physician Assistant | 3632 American Way, Casper, WY 82604-3164 | 2016-06-03 |
| 1790146694 | Stacy Legler Henley | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3164 | 2016-03-19 |
| 1972977403 | Loura D Heuer | Nurse Practitioner | 3632 American Way, Casper, WY 82604 | 2015-11-20 |
| 1477894756 | Cassie Rebecca Amadio | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3164 | 2013-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489335 | Sasha Marie Baker | Behavior Technician | 945 Pendell Blvd, Casper, WY 82604 | 2017-07-13 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1619364437 | Daniel Dalen | Specialist/Technologist | 2342 Odell, Casper, WY 82604 | 2015-04-20 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1093938839 | Kelly L Heenan | Counselor | 3741 Arroyo Drive, Casper, WY 82604 | 2007-04-10 |
| 1649393943 | Leslie Keeler | Case Manager/Care Coordinator | 630 10 Mile Road, Casper, WY 82604 | 2007-04-09 |
| 1386778223 | Wyoming Health Fairs | Technician, Pathology | 115 South Elm St, Casper, WY 82604 | 2007-03-15 |
| Find all providers in zip 82604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436274 | Susan Ranea Roberson | Nurse Practitioner | 69 Valley Dr, Casper, WY 82604-4011 | 2020-01-13 |
| 1710424940 | Brenda Kaye Barker | Nurse Practitioner | 111 S Jefferson St Ste 105, Casper, WY 82601-2665 | 2017-01-26 |
| 1306389432 | Hollie Johnson | Nurse Practitioner | 1450 S Cottonwood St, Casper, WY 82604-3368 | 2016-11-21 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| 1639479306 | Teresa Cady | Nurse Practitioner | 1836 Fetterman Ave, Casper, WY 82604-3038 | 2010-10-28 |
| 1104126358 | Jane T. Fleming | Nurse Practitioner | 2241 Farnum St, Suite 102, Casper, WY 82609-2900 | 2010-10-21 |
| 1609034131 | Virginia Louise Tubbs | Nurse Practitioner | 428 S Durbin St Ste 103, Casper, WY 82601-2829 | 2008-05-31 |
| 1093921504 | Leigh Powell Earle | Nurse Practitioner | 475 S Spruce St, Casper, WY 82601-1759 | 2007-05-14 |
| 1003994484 | Mary Sue Hager | Nurse Practitioner | 301 S Fenway St Ste 202, Casper, WY 82601-3053 | 2006-11-01 |
| 1760572630 | Tia Jean Hansuld (welch) | Nurse Practitioner | 680 E 18th St, Casper, WY 82601-4703 | 2006-10-13 |
| Find all providers in CASPER | ||||
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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.