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JACK HENRY BANNON
NPI 1174331300
Case Manager/Care Coordinator in Cheyenne, WY

Active since December 19, 2024
2526 SEYMOUR AVE, CHEYENNE, WY 82001(307) 634-9653 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Dec 19, 2024 (2 updates tracked since 2024).

About Jack Henry Bannon NPPES

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

JACK HENRY BANNON (NPI 1174331300) is an individual case manager/care coordinator provider in Cheyenne, Wyoming and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1174331300
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACK HENRY BANNON
Location Address2526 SEYMOUR AVECheyenne, WY 82001-3159
Mailing Address2526 Seymour AveCheyenne, WY 82001-3159 · (307) 634-9653
Phone(307) 634-9653
Sole ProprietorNo
Enumeration DateDecember 19, 2024
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1174331300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2526 SEYMOUR AVE, Cheyenne, WY 82001
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Other Providers at the Same Location NPPES 20

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

JENNIFER FEHRN
Community Health Worker
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653
ALEXIS TOPE
Case Manager/Care Coordinator
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653
MRS. HELEN B DEGABAIN BSN, RN
Registered Nurse
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653
MS. AURELIA NEUDA MS LPC LAT
Counselor (Addiction (Substance Use Disorder))
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653
KARLA RENE MOORE
Social Worker (Clinical)
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653
KATINA TWEEDY
Case Manager/Care Coordinator
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653
ANDREE BERGERON PAT
Counselor (Addiction (Substance Use Disorder))
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653
ISAIAH POSTENRIEDER
Case Manager/Care Coordinator
2526 SEYMOUR AVE
CHEYENNE, WY 82001
Laramie County (307) 634-9653

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 Jack Bannon's NPI number?

The NPI number for Jack Bannon is 1174331300. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Where is Jack Bannon located?

Jack Bannon practices at 2526 Seymour Ave, Cheyenne, WY 82001. The listed phone number is (307) 634-9653.

What is Jack Bannon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jack Bannon was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.