| Liv Health | |
|
2500 Dell Range Blvd Cheyenne WY 82009-5273 | |
| (307) 630-4729 | |
| Not Available |
| Full Name | Liv Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Dell Range Blvd, Cheyenne, Wyoming |
| Authorized Official Name and Position | Emily Ann Loos (PRESIDENT & CEO) |
| Authorized Official Contact | 3076304729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liv Health Po Box 20092 Cheyenne WY 82003-7002 Ph: (307) 630-4729 | Liv Health 2500 Dell Range Blvd Cheyenne WY 82009-5273 Ph: (307) 630-4729 |
| NPI Number | 1740604057 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 5698992352 |
|---|---|
| Medicare Enrollment ID | O20140804002438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740604057 | NPI | - | NPPES |
| 149078 | Medicaid | WY |
| Provider Name | Christine W Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033190152 PECOS PAC ID: 6709809593 Enrollment ID: I20060106000717 |
| Provider Name | Kristina L Stefka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740339159 PECOS PAC ID: 7012903453 Enrollment ID: I20070516000475 |
| Provider Name | Emily Ann Loos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043553498 PECOS PAC ID: 5395986392 Enrollment ID: I20130801000783 |
| Provider Name | Patricia Engler-parish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265832737 PECOS PAC ID: 2264755149 Enrollment ID: I20141229001906 |
| Provider Name | Gregory V Stelzner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003179649 PECOS PAC ID: 5092022608 Enrollment ID: I20150915001365 |
| Provider Name | Penny M Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013249929 PECOS PAC ID: 8426186230 Enrollment ID: I20180222002540 |
| Provider Name | Lisa Otto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851707574 PECOS PAC ID: 7214299841 Enrollment ID: I20180320001165 |
| Provider Name | Jennifer Lindstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770996357 PECOS PAC ID: 2365797735 Enrollment ID: I20180626003105 |
| Provider Name | Heather Madrid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912354101 PECOS PAC ID: 2062761133 Enrollment ID: I20180822002852 |
| Provider Name | Tessa Matzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447792593 PECOS PAC ID: 8527318856 Enrollment ID: I20180907001847 |
| Provider Name | Ashlie Kay Irish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922593037 PECOS PAC ID: 0648521849 Enrollment ID: I20180927001907 |
| Provider Name | Rachel E Eby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548644347 PECOS PAC ID: 3173873155 Enrollment ID: I20190123001802 |
| Provider Name | Julie Hummer-bellmyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265623870 PECOS PAC ID: 8527300870 Enrollment ID: I20190507001022 |
| Provider Name | Hanna R Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619500097 PECOS PAC ID: 7810325594 Enrollment ID: I20200311000679 |
| Provider Name | Natasha Trujillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992107437 PECOS PAC ID: 9638593106 Enrollment ID: I20200717000581 |
| Provider Name | Marianne Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936932 PECOS PAC ID: 0345667036 Enrollment ID: I20200826001463 |
| Provider Name | Robin Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598362758 PECOS PAC ID: 0446670764 Enrollment ID: I20201026001237 |
| Provider Name | Jeni Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285303099 PECOS PAC ID: 0941698161 Enrollment ID: I20211020002921 |
| Provider Name | Erin Brooke Hlad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396079661 PECOS PAC ID: 5294126595 Enrollment ID: I20211228001330 |
| Provider Name | Sharilyn Twidwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972111649 PECOS PAC ID: 2466848163 Enrollment ID: I20220406000326 |
| Provider Name | Ola Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083360945 PECOS PAC ID: 0042697021 Enrollment ID: I20220512001177 |
| Provider Name | Sarah B Valerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831561919 PECOS PAC ID: 2365726536 Enrollment ID: I20220513000304 |
| Provider Name | Brooke Fandrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033785860 PECOS PAC ID: 0840666392 Enrollment ID: I20221025000696 |
| Provider Name | Olaoluwatomi Ogundimu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447994728 PECOS PAC ID: 0244582971 Enrollment ID: I20221118002586 |
| Provider Name | Sheridan Roling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215539192 PECOS PAC ID: 8022488154 Enrollment ID: I20230105001183 |
| Provider Name | Esther Ubom Aruna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477283075 PECOS PAC ID: 1153793005 Enrollment ID: I20230202002186 |
| Provider Name | Molly Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366163800 PECOS PAC ID: 9032573068 Enrollment ID: I20230911000081 |
| Provider Name | Chinasa Ezinne Oriaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588303788 PECOS PAC ID: 8325417058 Enrollment ID: I20230919000616 |
| Provider Name | Raven Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053854703 PECOS PAC ID: 9133562705 Enrollment ID: I20240211000057 |
| Provider Name | Megan Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588320527 PECOS PAC ID: 0840732491 Enrollment ID: I20240611001182 |
| Provider Name | Tracy A Hillmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326103458 PECOS PAC ID: 5698891810 Enrollment ID: I20240619002105 |
| Provider Name | Devin Denison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760154736 PECOS PAC ID: 1254878218 Enrollment ID: I20240926002322 |
| Provider Name | Jason T Offen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548727068 PECOS PAC ID: 4284175910 Enrollment ID: I20240930002981 |
| Provider Name | Jennifer Lynn Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720801491 PECOS PAC ID: 1355876343 Enrollment ID: I20241127003446 |
| Provider Name | Emily Beckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245057454 PECOS PAC ID: 0446786990 Enrollment ID: I20241209001080 |
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Gloria D Rutt Psyd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Coulter Drive, Cheyenne, WY 82009 Phone: 307-286-4106 Fax: 307-632-6588 | |
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