CARRIE RENEE RYDSTROM
NPI 1750173886
Speech-Language Pathologist in Kemmerer, WY

Active since May 22, 2025
711 ONYX ST, KEMMERER, WY 83101(307) 877-4496 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, May 22, 2025 (2 updates tracked since 2025).

About Carrie Renee Rydstrom NPPES

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

CARRIE RENEE RYDSTROM (NPI 1750173886) is an individual speech-language pathologist provider in Kemmerer, Wyoming and active in the NPI registry since May 2025. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1750173886
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARRIE RENEE RYDSTROM
Location Address711 ONYX STKemmerer, WY 83101-3214
Mailing AddressPo Box 1179Kemmerer, WY 83101-1179 · (605) 670-6215
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 22, 2025
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1750173886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
711 ONYX ST, Kemmerer, WY 83101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carrie Renee Rydstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365921756
PECOS Enrollment IDI20260205003307

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.

General Acute Care Hospital (Rural)
711 ONYX ST
KEMMERER, WY 83101
Physician Assistant
711 ONYX ST
KEMMERER, WY 83101
Registered Nurse (Diabetes Educator)
711 ONYX ST
KEMMERER, WY 83101
Pharmacist
711 ONYX ST
KEMMERER, WY 83101
Counselor (Professional)
711 ONYX ST, OFFICE OF THE DIRECTOR OF QUALITY AND COMPLIANCE
KEMMERER, WY 83101
Counselor (Mental Health)
711 ONYX ST
KEMMERER, WY 83101
Nurse Practitioner (Family)
711 ONYX ST
KEMMERER, WY 83101
Family Medicine
711 ONYX ST
KEMMERER, WY 83101

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 Carrie Rydstrom's NPI number?

The NPI number for Carrie Rydstrom is 1750173886. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Carrie Rydstrom located?

Carrie Rydstrom practices at 711 Onyx St, Kemmerer, WY 83101. The listed phone number is (307) 877-4496.

What is Carrie Rydstrom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Carrie Rydstrom enrolled in Medicare?

Yes. Carrie Rydstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carrie Rydstrom was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.