LYDIA WICKS (NPI# 1003175506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003175506 |
| Entity Type | Individual |
| Full Name | LYDIA WICKS |
| Credential | NURSE |
| Practice Address |
339 Morris Ave Bronx NY 10451-6122 |
| Practice Telephone | 7185852100 |
| Practice Fax Number | 7185858316 |
| Mailing Telephone | 7185852100 |
| Mailing Fax Number | 7185858316 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
204294 | NY | Nursing Service Providers |
| Street Address |
339 MORRIS AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10451-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881816494 | Eric Shyh-ming Lu | Occupational Therapist | 339 Morris Ave, 4th Floor, Bronx, NY 10451-6122 | 2007-05-03 |
| 1972169423 | Itherapy Ot, PC. | Occupational Therapist | 339 Morris Ave, Bronx, NY 10451-6122 | 2019-05-10 |
| 1861960205 | Timothy Carlson | Speech-Language Pathologist | 339 Morris Ave, Bronx, NY 10451-6122 | 2018-11-03 |
| 1215470604 | Sandra Marcus | Speech-Language Pathologist | 339 Morris Ave, P168x@203, Bronx, NY 10451-6122 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417643 | Inyoung Park | Registered Nurse | 1309 Astor Ave, Bronx, NY 10469-5803 | 2019-09-20 |
| 1275006892 | Sandra K King | Registered Nurse | 632 E 235th St Apt 2, Bronx, NY 10466-2737 | 2019-01-07 |
| 1598231607 | Alexandra Champagne | Registered Nurse | 3622 Corlear Ave Fl 2, Bronx, NY 10463-2306 | 2018-10-16 |
| 1851803415 | Linda R. Rose | Registered Nurse | 1495 Shore Dr, Bronx, NY 10465-1559 | 2017-11-03 |
| 1538671623 | Wanda Alecea Armstrong | Registered Nurse | 3950 Blackstone Ave Apt 2e, Bronx, NY 10471-3716 | 2017-10-29 |
| 1780195370 | Daniel D Lee | Registered Nurse | 1069 Astor Ave, Bronx, NY 10469 | 2017-10-23 |
| 1346750973 | Hawa Gabriel | Registered Nurse | 2229 Newbold Ave, Bronx, NY 10462-5107 | 2017-10-10 |
| 1518477124 | Osamede Irene Egharevba | Registered Nurse | 1375 Mace Ave, Bronx, NY 10469-5632 | 2017-10-09 |
| 1710405477 | Jean E. Bennett | Registered Nurse | 663 E 243rd St, Bronx, NY 10470-1054 | 2017-09-01 |
| 1366967770 | Valerie Stembridge | Registered Nurse | 1491 West Ave Apt 2g, Bronx, NY 10462-7312 | 2017-08-07 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.