Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PURPLE SKIES HEALTH AND VITALITY CLINIC LLC
NPI 1053181701
Clinic/Center in Buffalo, WY

Active since January 04, 2024CLIA Certified · 2 labs
915 W FETTERMAN ST UNIT 1, BUFFALO, WY 82834(307) 752-8136(307) 785-1096 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2026, Apr 24, 2024, Jan 4, 2024 (3 updates tracked since 2024).

About Purple Skies Health And Vitality Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURPLE SKIES HEALTH AND VITALITY CLINIC LLC (NPI 1053181701), doing business as Purple Skies Clinic, is a healthcare organization registered as a clinic/center in Buffalo, Wyoming and active in the NPI registry since January 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Sheridan, and lists Jennifer Rasmuson, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1053181701
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePURPLE SKIES HEALTH AND VITALITY CLINIC LLC
Location Address915 W FETTERMAN ST UNIT 1Buffalo, WY 82834-2449
Mailing AddressPo Box 975Buffalo, WY 82834-0975 · (307) 221-6430
Fax(307) 785-1096
Organization SubpartNo
Authorized OfficialJennifer RasmusonNurse Practitioner/owner · (307) 221-6430
Enumeration DateJanuary 4, 2024
Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
NPI 1053181701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
915 W FETTERMAN ST UNIT 1, Buffalo, WY 82834

Other Names 1

Doing Business AsPurple Skies Clinic

Secondary Practice Location 1

Location 11301 Avon St Ste ASheridan, WY 82801-2758 · Phone (307) 752-8136

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2316737

Purple Skies Health And Vitality Clinic, LLC · Buffalo, WY
Active · expires May 27, 2028
CLIA Number53D2316737
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorJennifer A. Rasmuson
Laboratory Phone(307) 752-8136
Laboratory LocationPurple Skies Health And Vitality Clinic, LLC915 W Fetterman St, Ste 1, Buffalo, WY 82834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 53D2316736

Purple Skies Health And Vitality Clinic, LLC · Sheridan, WY
Active · expires Jan 9, 2027
CLIA Number53D2316736
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorJennifer A. Rasmuson
Laboratory Phone(307) 752-8136
Laboratory LocationPurple Skies Health And Vitality Clinic, LLC1301 Avon Street Suite A, Sheridan, WY 82801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
915 W FETTERMAN ST UNIT 1
BUFFALO, WY 82834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Purple Skies Health And Vitality Clinic LLC's NPI number?

The NPI number for Purple Skies Health And Vitality Clinic LLC is 1053181701. It was assigned to this organization in the NPPES registry on January 4, 2024. The provider is doing business as Purple Skies Clinic.

Where is Purple Skies Health And Vitality Clinic LLC located?

Purple Skies Health And Vitality Clinic LLC is located at 915 W Fetterman St Unit 1, Buffalo, WY 82834. The listed phone number is (307) 752-8136.

What is Purple Skies Health And Vitality Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Purple Skies Health And Vitality Clinic LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Purple Skies Health And Vitality Clinic LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Purple Skies Health And Vitality Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Purple Skies Health And Vitality Clinic LLC was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.