EVERGREEN PEDIATRICS
NPI 1417257155
Pediatrics in Riverton, WY

Q: What is Riverton Physician Practices, LLC's NPI number?

The NPI number for Riverton Physician Practices, LLC is 1417257155. It was assigned to this organization in the NPPES registry on October 28, 2010. The provider is doing business as Evergreen Pediatrics.

Q: What is Riverton Physician Practices, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 28, 2010CLIA 53D0519897 · Microscopy

1005 COLLEGE VIEW DR, RIVERTON, WY 82501(307) 857-3488(307) 857-5215 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evergreen Pediatrics NPPES

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

EVERGREEN PEDIATRICS (NPI 1417257155) is a healthcare organization registered as a pediatrics in Riverton, Wyoming and active in the NPI registry since October 2010. The organization holds a CLIA Microscopy certificate valid through April 7, 2027 and lists Jess N Judy, President, as its authorized official.

NPPES Registry Identity

NPI1417257155

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameRIVERTON PHYSICIAN PRACTICES, LLC

Location Address1005 COLLEGE VIEW DRRiverton, WY 82501-2289

Mailing Address1005 College View DrRiverton, WY 82501-2289 · (307) 857-3488 · Fax (307) 857-5215

Phone(307) 857-3488

Fax(307) 857-5215

Organization SubpartNo

Authorized OfficialJess N JudyPresident · (615) 372-8500

Enumeration DateOctober 28, 2010

✔ NPI 1417257155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1005 COLLEGE VIEW DR, Riverton, WY 82501

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Other Names 1

Doing Business AsEvergreen Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 53D0519897

Riverton Physicians Practice LLC · Riverton, WY

Active · expires Apr 7, 2027

CLIA Number53D0519897

Laboratory TypePhysician Office

Certificate Effective DateApril 8, 2025

Certificate Expiration DateApril 7, 2027

Laboratory DirectorJoseph P. Turner

Laboratory Phone(307) 857-3488

Laboratory LocationRiverton Physicians Practice LLC1005 College View Drive, Riverton, WY 82501

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MICHAEL R FISHER MD

Pediatrics