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Jennifer Lynn Warneka

Physician β€’ Gillette, WY

Deactivated NPI 1417692104 Deactivated in NPPES Female Practitioner
Practice location in NPPES

1810 Idaho St
Gillette, WY 827161951

Phone: 4064252113

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.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 30, 2022; the reason is not published. The records below are historical. They do not show whether Jennifer Warneka currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 28, 2022
NPI Deactivation Date August 30, 2022
NPI Active Period 2022 – 2022

Practice Location & Contact Primary Location

Practice Address

1810 Idaho St

Gillette, WY 827161951

Telephone 4064252113

NPI first issued

2022

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.

Compared with the same specialty in Gillette and Wyoming

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 30, 2022

NPPES lists this NPI as deactivated as of August 30, 2022; the reason is not published.

βœ…
NPI Profile Active April 28, 2022

NPI status registered as active in NPPES database

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Practice Location (Initial Record) April 28, 2022

Registered at 1810 IDAHO ST, GILLETTE, WY 827161951 (Tel: 4064252113)

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Business Mailing Address (Initial Record) April 28, 2022

Registered at 1810 IDAHO ST, GILLETTE, WY 827161951 (Tel: 4064252113)

πŸ‘€
Provider Name / Credentials (Initial Record) April 28, 2022

Recorded as JENNIFER WARNEKA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2022

Community/Behavioral Health

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Initial NPI Registration & Enumeration April 28, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417692104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2022
Last Update: April 28, 2022
Deactivation Date: August 30, 2022

Mailing Address

1810 Idaho St

Gillette, WY 827161951

Phone: 4064252113

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.