MRS. BETH MARIE KAMMINGA I (NPI# 1649502527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649502527 |
| Entity Type | Individual |
| Full Name | MRS. BETH MARIE KAMMINGA I |
| Credential | MT |
| Practice Address |
29 Black Coal Dr. Fort Washakie WY 82520 |
| Practice Telephone | 3073327672 |
| Practice Fax Number | 3073327514 |
| Mailing Telephone | 3073327672 |
| Mailing Fax Number | 3073327514 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 247100000X | Radiologic Technologist | RS-0196-10 | WY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
29 BLACK COAL DR. |
| City | FORT WASHAKIE |
| State | WY |
| Zip Code | 82520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306099940 | Benjamin R Younkin | Registered Nurse | 29 Black Coal Dr., Fort Washakie, WY 82514 | 2008-10-28 |
| 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 | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962749572 | Courtnie Stringham | Radiologic Technologist | Black Coal Rd Bldg 29, Fort Washakie, WY 82514-0128 | 2013-01-16 |
| 1366774101 | Robin Nicole Neubauer | Radiologic Technologist | 29 Black Coal Drive, Fort Washakie, WY 82514 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111951 | Kelsi Roth | Radiologic Technologist | 1323 Holmes Ave, Sheridan, WY 82801-2230 | 2019-02-20 |
| 1285087684 | Andrew Marcarelli | Radiologic Technologist | 29 Black Coal Dr, Ft Washakie, WY 82514 | 2016-07-20 |
| 1598158719 | Melba Lee | Radiologic Technologist | 29 Black Coal Road, Fort Washakie, WY 82514 | 2015-03-12 |
| 1821425026 | Shelby Zentner | Radiologic Technologist | 14 Great Plains Road, Arapahoe, WY 82510 | 2013-10-02 |
| 1245427988 | Thomas Glen Asay | Radiologic Technologist | 777 Avenue H, Powell, WY 82435-2260 | 2007-09-26 |
| 1558585737 | Gem City Bone & Joint | Radiologic Technologist | 1909 Vista Dr, Laramie, WY 82070-5530 | 2007-04-12 |
| 1235274523 | Western Medical Associates, L.L.C. Diagnostics and Imaging | Radiologic Technologist | 6500 E 2nd St, Suite 100, Casper, WY 82609-4321 | 2007-02-21 |
| 1649326687 | Castle Rock Special Hospital District | Radiologic Technologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
| 1710097647 | Valley Xray LLC | Radiologic Technologist | 124 Petersen Parkway, 124 Petersen Parkway Suite 2, Thayne, WY 83127 | 2006-08-30 |
| City | FORT WASHAKIE |
| Zip Code | 82520 |
Please comment or provide details below to improve the information on MRS. BETH MARIE KAMMINGA I.
| 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.