Lander Valley Physician Practices, LLC
Lander Valley Physician Practices, LLC is a healthcare organization registered as Psychiatry Physician in Lander, WY, holding Type 2 (organization) NPI 1215971510 since 2006. The authorized official on file is Jess Judy, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215971510 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lander Valley Physician Practices, LLC |
| Practice address | 830 LINCOLN ST, Lander, WY, 82520 |
| Phone | 3073329577 |
| Fax | 3073323106 |
| Enumeration date | 2006-06-16 |
| Last updated in NPPES | 2013-01-02 |
Authorized official
| Name | Jess Judy |
|---|---|
| Title | President |
| Phone | 6153728500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Secondary | 6909A | WY |
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 208M00000X | Hospitalist Physician | Secondary | — | — |
| 2084N0400X | Neurology Physician | Secondary | — | — |
| 363AM0700X | Medical Physician Assistant | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 1041C0700X | Clinical Social Worker | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119703700 | Medicaid | WY | — |
Copy-ready billing details
Provider: Lander Valley Physician Practices, LLC NPI: 1215971510 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 830 LINCOLN ST, Lander, WY, 82520
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568613511 | De'Burae Ling-Croft | Individual | Social Worker | Lander, WY |
Verify this record
Cross-check NPI 1215971510 against the authoritative CMS record: view Lander Valley Physician Practices, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Lander Valley Physician Practices, LLC?
Who is the authorized official for Lander Valley Physician Practices, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-01-02.