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TINA BRAETTHOMAS RD
NPI 1255484945
Dietitian, Registered in Cody, WY

Active since January 18, 2007
707 SHERIDAN AVE, CODY, WY 82414(307) 527-7561 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tina Braetthomas Rd NPPES

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

TINA BRAETTHOMAS RD (NPI 1255484945) is an individual dietitian, registered in Cody, Wyoming and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1255484945
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTINA BRAETTHOMASCredential: RD
Location Address707 SHERIDAN AVECody, WY 82414-3409
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Phone(307) 527-7561
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 2, 2014
✔ NPI 1255484945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
707 SHERIDAN AVE, Cody, WY 82414
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Other Identifiers 4

Other312877WY · Wy Bcbs Pin
Medicare PINW20355WY
Medicare PIN1153260002WY
Medicare PINP00425590WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Braetthomas Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tina Braetthomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Powell Valley Healthcare Inc
22 mi
Family Medicine
777 AVENUE H
Powell, WY 82435
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1497753115 (Wyoming)
  • 61 clinicians in this Medicare group
NPI 1699721316 (307) 754-7257

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

GREGORY H CROSS II MD
Radiology (Diagnostic Radiology)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2582
MONIQUE HELENA KEENAN PT, MPT
Physical Therapist
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2452
FRED A SNELSON
Counselor (Addiction (Substance Use Disorder))
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501
LORI TYSON RNFA
Registered Nurse (Registered Nurse First Assistant)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-6293
WEST PARK HOSPITAL HOME HEALTH
Hospice Care, Community Based
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501
STEPHANIE I KNODEL
Emergency Medicine
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 578-2000
MS. SHELLY MARIE GREEN CRNA
Nurse Anesthetist, Certified Registered
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 587-2139
KATHRYN LEE CARTER NP
Nurse Practitioner (Pediatrics, Critical Care)
707 SHERIDAN AVE
CODY, WY 82414
Park County (307) 527-7501

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 Tina Braetthomas's NPI number?

The NPI number for Tina Braetthomas is 1255484945. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Tina Braetthomas located?

Tina Braetthomas practices at 707 Sheridan Ave, Cody, WY 82414. The listed phone number is (307) 527-7561.

What is Tina Braetthomas's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tina Braetthomas enrolled in Medicare?

Yes. Tina Braetthomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Braetthomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Braetthomas reassigns Medicare benefits to Powell Valley Healthcare Inc (Powell, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Braetthomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Braetthomas accept?

Health plans from Blue Cross Blue Shield of Wyoming list Tina Braetthomas 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 Tina Braetthomas was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.