WANDA L WYNN (NPI# 1093719650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093719650 |
| Entity Type | Individual |
| Full Name | WANDA L WYNN |
| Credential | PA |
| Practice Address |
4210 Pioneer Woods Dr Ste A Lincoln NE 68506-7561 |
| Practice Telephone | 4024884321 |
| Practice Fax Number | 4024884355 |
| Mailing Telephone | 4024884321 |
| Mailing Fax Number | 4024884355 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 00961 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4210 PIONEER WOODS DR STE A |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-7561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263460 | Donald Troy Rice | Family Medicine | 4210 Pioneer Woods Dr, Ste A, Lincoln, NE 68506-7557 | 2005-05-24 |
| 1114341948 | Urgent Care Clinic of Lincoln, PC | Family Medicine | 4210 Pioneer Woods Dr, Ste A, Lincoln, NE 68506-7561 | 2014-02-14 |
| 1174826440 | Pioneer Woods Pain Solutions, Inc. | Specialist | 4210 Pioneer Woods Dr, Ste. B, Lincoln, NE 68506-7561 | 2010-12-08 |
| 1982837373 | Family First Dental Associates of West Point, P.C. | Dentist | 4210 Pioneer Woods Dr, Suite D, Lincoln, NE 68506-7561 | 2009-09-01 |
| 1992905467 | Bridget Dawn Green | Physician Assistant | 4210 Pioneer Woods Dr, Suite A, Lincoln, NE 68506-7561 | 2007-07-23 |
| 1811076615 | Todd Aaron Hedlund | Chiropractor | 4210 Pioneer Woods Dr, Suite B, Lincoln, NE 68506-7561 | 2006-11-03 |
| 1508828997 | Wesley N Parks | Dentist | 4210 Pioneer Woods Dr, Ste D, Lincoln, NE 68506-7557 | 2006-04-03 |
| 1962408732 | Urgent Care Clinic of Lincoln, P.C. | Clinic/Center | 4210 Pioneer Woods Dr, Ste A, Lincoln, NE 68506-7557 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580156 | Alana M Oster | Physician Assistant | 129 Chapel St, Lincoln, RI 02865-2119 | 2020-08-25 |
| 1871143891 | Ashley Moreau | Physician Assistant | 4 Lauretta Ln, Lincoln, RI 02865-1338 | 2019-09-12 |
| 1013574862 | Erin Grace Dragoo | Physician Assistant | 2310 Wesley Dr, Lincoln, NE 68512-3704 | 2019-05-28 |
| 1629535521 | Jason Theodore | Physician Assistant | 4615 Meredeth St Apt 6, Lincoln, NE 68506-4973 | 2019-02-27 |
| 1144674276 | Austin Bryce Henslee | Physician Assistant | 575 S 70th St Ste 310, Lincoln, NE 68510 | 2016-04-14 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1942542790 | Linda Denise Corr | Physician Assistant | 4451 N 26th St Ste 1000, Lincoln, NE 68521-4144 | 2013-03-20 |
| 1669734794 | Kimberly Kathryn Piening | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2012-06-14 |
| 1548521933 | Terumi Degraw | Physician Assistant | 1715 S 26th St, Lincoln, NE 68502-3061 | 2012-06-02 |
| 1609103415 | Kristen Alyce Bruening | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2009-11-16 |
| Find all providers in LINCOLN | ||||
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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.