MEDICARE: GINA M REED PPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAP-209	WY
2	101Y00000X	Counselor	1557	WY
3	390200000X	Student in an Organized Health Care Education/Training Program		WY
4	101Y00000X	Counselor	CAP-209	WY

General Provider Information

NPI Number	:	1487130092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA M REED PPC

Provider Business Mailing Address
First Line	:	625 E MADISON AVE STE 1
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-4712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 SHRINE CLUB RD
Second Line	:
City	:	LANDER
State	:	WY
Zip	:	82520-8501
Country	:	US
Telephone Number	:	307-335-3226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2018
Last Update Date	:	07/03/2025

Similar Medicare Providers

1992707285 — DR. CLINTON FRANKLIN MERRILL JR. M.D.
Practice Location Address:

15 SHRINE CLUB RD
LANDER, WY
82520-8501

Practice Phone: 307-332-0324
Practice Fax: 307-332-0382

1417813247 — BENJAMIN CRAWFORD RN
Practice Location Address:

1320 BISHOP RANDALL DR
LANDER, WY
82520-3939

Practice Phone: 307-335-6395
Practice Fax:

1982408266 — VIRGINIA KUHN LPC
Practice Location Address:

550 MAIN ST STE 5
LANDER, WY
82520-3000

Practice Phone: 307-302-0214
Practice Fax:

1841155967 — ADELLE SIMON
Practice Location Address:

14 WINDY RIDGE RD
LANDER, WY
82520-9452

Practice Phone: 307-840-1033
Practice Fax:

1154059681 — JOHN DAVID DAVIS LAT
Practice Location Address:

748 MAIN ST
LANDER, WY
82520-3036

Practice Phone: 307-332-2231
Practice Fax:

1952303216 — JAN K. SIEBERSMA M.D.
Practice Location Address:

745 BUENA VISTA DR
LANDER, WY
82520-3431

Practice Phone: 307-332-2941
Practice Fax: 307-332-1920

Directions to “ GINA M REED PPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.