IndividualActive
Jay Old Coyote, PEER SPECIALIST
NPI 1609220706 · Community Health Worker · St Stephens, WY
Provider details
- NPI number
- 1609220706
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- PEER SPECIALIST
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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
#24 Great Plains Road
White Buffalo Recovey Center
St Stephens, WY 82501-0038
Phone: (307) 865-0470
Fax: (307) 857-4383
Street-level locationGet directions
Mailing address
Po Box 190
Riverton, WY 82501-0038
Registry dates
- Enumerated
- 2016-04-15
- Last updated
- 2016-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.