GWEN A ANDREWS (NPI# 1639649072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639649072 |
| Entity Type | Individual |
| Full Name | GWEN A ANDREWS |
| Credential | PSS |
| Practice Address |
501 S Burma Ave Gillette WY 82716-3426 |
| Mailing Address |
Po Box 3011 Gillette WY 82717-3011 |
| Practice Telephone | 3076885000 |
| Practice Fax Number | 3076885074 |
| Mailing Telephone | 3076885095 |
| Mailing Fax Number | 3076885074 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | WY | Other Service Providers |
| Street Address |
501 S BURMA AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257720 | Alan L Mitchell | Radiology | 501 S Burma Ave, Gillette, WY 82716-3426 | 2005-07-01 |
| 1730796087 | Jenae Elizabeth Schoenike | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-09-29 |
| 1417569732 | Nikole Marie Lawrence | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-08-18 |
| 1396354221 | Nancy Dillie | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-27 |
| 1538777800 | Devin Rae Vance | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1851909295 | Barry Shannon | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1255949525 | Lisa Jackson-eldridge | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1083222483 | Derek Friedlan | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-21 |
| 1295377414 | Charmaine Abigan Jaiver | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-10-09 |
| 1841844172 | Daniel Bryan Rust | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065973 | Jennifer Nicole Rossiter | Peer Specialist | 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1578031639 | Trina M Krepcik | Peer Specialist | 1406 S Boxelder St Apt 1, Casper, WY 82604-3374 | 2018-11-07 |
| 1982116794 | Madonna Lee Kienlen | Peer Specialist | 215 Ethete Road, Ft. Washakie, WY 82514 | 2017-11-02 |
| 1316310105 | Emileigh Hillstead | Peer Specialist | 419 4th St, Evanston, WY 82930-3616 | 2015-11-03 |
| 1144836271 | Wood M Palmer | Peer Specialist | 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 | 2020-09-23 |
| 1073155339 | Chellidy Simpson | Peer Specialist | 121 S 4th St, Thermopolis, WY 82443-2634 | 2019-10-08 |
| 1255998423 | Tanya A Tsukas | Peer Specialist | 1701 W 5th St Ste C, Sheridan, WY 82801-2749 | 2019-05-23 |
| 1386115285 | Adam Christensen | Peer Specialist | 389 Adams St, Afton, WY 83110 | 2018-12-17 |
| 1386110849 | Michaela Mary Tschirhart | Peer Specialist | 1110 Major Ave, Riverton, WY 82501-2342 | 2018-10-22 |
| 1487130092 | Gina M Reed | Peer Specialist | 625 E Madison Ave Ste 1, Riverton, WY 82501-4712 | 2018-07-17 |
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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.