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Amy Jo Bracken , MS, CCC-SLP

Speech-Language Pathologist • Cheyenne, WY

Active NPI 1629181672 Individual Practitioner Female Practitioner
Practice location in NPPES

2360 E Pershing Blvd
Cheyenne, WY 820015356

Call 3077787554 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2360 E Pershing Blvd

Cheyenne, WY 820015356

Telephone 3077787554
Fax 3077787369
Organization at the Same NPPES Address or Phone
Cheyenne Vamc Facility NPI 1790743797

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cheyenne and Wyoming

44 active clinicians are listed under Speech-Language Pathologist with a practice address in Cheyenne, WY (330 in Wyoming).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cheyenne

0% of these 44 clinicians have the CMS telehealth indicator.

4.5% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES WY SP-371

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wyoming State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Molly Anderson , PA-C

Physician Assistant - Surgical

NPI 1841728623

Physician Assistant (Certified)

NPI 1336290683

Doctor of Medicine (M.D.), Doctor of Chiropractic

Michael Brewer , CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1235597329

Certified Registered Nurse Practitioner

Dr. Polly Davis , MD

Family Medicine

NPI 1881211159

Doctor of Medicine (M.D.)

Dr. Joanie Deatrich , DO

Family Medicine - Adult Medicine

NPI 1346336500

Doctor of Osteopathic Medicine (D.O.)

Karen Enright , NP

Nurse Practitioner - Gerontology

NPI 1548459076

Nurse Practitioner

Career & Practice History

NPI enumerated August 16, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1629181672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4923 Phoenix Dr

Cheyenne, WY 820016925

Phone: 3077787554

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.