CROSSROADS HEALTH LLC (NPI# 1730636812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730636812 |
| Entity Type | Organization |
| Organization Name | CROSSROADS HEALTH LLC |
| Practice Address |
1842 Sugarland Dr Suite 103 Sheridan WY 82801-5775 |
| Mailing Address |
Po Box 7221 Sheridan WY 82801-7004 |
| Practice Telephone | 3077510645 |
| Mailing Telephone | 3077510645 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2018-03-12 |
| Authorized Official Name | MRS. WENDY JO WOOD NEESON (OWNER) |
| Authorized Official Telephone | 3077510645 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
19472.0369 | WY | Ambulatory Health Care Facilities |
| Street Address |
1842 SUGARLAND DR SUITE 103 |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-5775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417954 | Susan K. Roberts | Family Medicine | 1842 Sugarland Dr, Suite 101, Sheridan, WY 82801-5719 | 2005-06-16 |
| 1730104480 | Bruce L Andrews | Counselor | 1842 Sugarland Dr, Suite 103, Sheridan, WY 82801-5775 | 2006-07-13 |
| 1558309831 | John W Finley | Family Medicine | 1842 Sugarland Dr, Suite 103, Sheridan, WY 82801-5775 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1396788667 | The Winston Clinic, P.a. | Clinic/Center | 506 Little Creek Cut Off Rd, Sheridan, AR 72150-7798 | 2006-06-14 |
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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.