OrganizationActive
Teton Pediatrics PC
NPI 1790388213 · Pediatrics Physician · Jackson, WY
Teton Pediatrics PC is a Pediatrics Physician organization in Jackson, WY (NPI 1790388213).
Provider details
- NPI number
- 1790388213
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacquelin Hardenbrook, Owner(307) 733-6520
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
555 E Broadway Ave Ste 202
Jackson, WY 83001-8640
Phone: (307) 733-6520
Fax: (307) 733-3216
Street-level locationGet directions
Mailing address
Po Box 4182
Jackson, WY 83001-4182
Other names (DBA / former)
- Doing business as
- Teton Pediatrics
Registry dates
- Enumerated
- 2020-11-18
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Frequently asked questions
- What is Teton Pediatrics PC's NPI number?
- Teton Pediatrics PC's National Provider Identifier (NPI) is 1790388213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Pediatrics PC?
- Teton Pediatrics PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Teton Pediatrics PC located?
- Teton Pediatrics PC's practice location on file with NPPES is 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640.
- What is Teton Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for Teton Pediatrics PC is (307) 733-6520.
- Who is the authorized official for Teton Pediatrics PC?
- The authorized official listed on Teton Pediatrics PC's NPPES record is Jacquelin Hardenbrook, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Pediatrics PC's NPI active?
- Yes — Teton Pediatrics PC's NPI (1790388213) is active in the NPPES registry as of the last update on 2020-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.