OrganizationActive
Tailored Nutrition LLC
NPI 1740605088 · Health Service Clinic/Center · Sheridan, WY
Provider details
- NPI number
- 1740605088
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Georgia Boley, Registered Dietitian(307) 752-8213
- License
- 81 (WY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
37 S Main St
Sheridan, WY 82801-4221
Phone: (307) 752-8213
Fax: (307) 675-1866
Street-level locationGet directions
Mailing address
37 S Main St
Sheridan, WY 82801-4221
Registry dates
- Enumerated
- 2014-02-24
- Last updated
- 2014-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.