OrganizationActive
Health Medical Insititute
NPI 1154858736 · Family Nurse Practitioner · Cheyenne, WY
Provider details
- NPI number
- 1154858736
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristine Martino, Executive Director(307) 514-0510
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 Airport Pkwy Ste 100
Cheyenne, WY 82001-1522
Phone: (307) 514-0510
Fax: (307) 514-0231
Street-level locationGet directions
Mailing address
920 Creighton St
Cheyenne, WY 82009-3229
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.