Jay Blakemore
Day Training, Developmentally Disabled Services in Lander, WY. Individual provider (NPI-1).
NPI number1114839719
StatusActive
Last updated in NPPESSep 18, 2026
Details
- NPI
- 1114839719
- Entity type
- Individual (NPI-1)
- Name
- Jay Blakemore
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2026
- Certification date
- Sep 18, 2026
- Last updated
- Sep 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | WY | Yes |
Practice location
203 S 4th St Apt 307Lander, WY 82520-3131
Phone 307-349-7080
Mailing address
203 S 4th St Apt 307Lander, WY 82520-3131
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Developmentally Disabled Services Day Training Agency providers in Lander · All 470 providers in Lander
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