# CHILDREN 1ST PEDIATRICS ASSOCIATES OF WYOMING, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710684543
- **Authorized official:** DR. MELISSA KNUDSON-JOHNSON MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (307) 333-3690

## Contact information

- **Practice address:** 732 W COLLINS DR, CASPER, WY 82601-2327
- **Practice address phone:** (307) 333-6940
- **Practice address fax:** (888) 964-2162
- **Mailing address:** 732 W COLLINS DR, CASPER, WY 82601-2327
- **Mailing address phone:** (307) 333-6940
- **Mailing address fax:** (888) 964-2162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2023
- **Last updated:** 03/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1083704803 | — | WY |
| 05 | — | 1518124114 | — | WY |