KARL B. WICK (NPI# 1104307644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104307644 |
| Entity Type | Individual |
| Full Name | KARL B. WICK |
| Credential | RN, PMHNP-BC |
| Practice Address |
13422 Kinsman Rd Cleveland OH 44120-4410 |
| Mailing Address |
9562 Wildwood Dr Chardon OH 44024-9134 |
| Practice Telephone | 2162834400 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN196574 | AZ | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN.438160 | OH | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN196574 | AZ | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
LE-00028099 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13422 KINSMAN RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001920 | Murtis Taylor Human Services System | Clinic/Center | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2006-07-09 |
| 1154938306 | Danielle Wolf | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-30 |
| 1447867015 | Shakeela Rogers | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-28 |
| 1649887217 | Tyra S. Anthony | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-28 |
| 1407463482 | Carson V. Traylor | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-24 |
| 1346857315 | Bre-anna Carruthers | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-24 |
| 1023625084 | Belinda Susan Bailey | Social Worker | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-24 |
| 1528674165 | Andrea Wingfield | Social Worker | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-18 |
| 1306452305 | Jean Marc Sims | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-09-16 |
| 1982238762 | Sharita L.c. Hicks | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285025 | Blooming Springs Mental Health & Wellness LLC | Nurse Practitioner | 11459 Mayfield Rd Ste 320, Cleveland, OH 44106-2363 | 2020-08-10 |
| 1326665902 | Martine Pyram | Nurse Practitioner | 2222 Detroit Ave Apt 704, Cleveland, OH 44113-2458 | 2020-06-30 |
| 1316598170 | Jillian Leigh Spring | Nurse Practitioner | 6835 Broadway Ave Rm 1009, Cleveland, OH 44105-1313 | 2019-09-24 |
| 1962061473 | George K Mcbride | Nurse Practitioner | 1723 Mount Vernon Dr Nw, Cleveland, TN 37311-3539 | 2019-06-08 |
| 1477017002 | Rachel Ehret | Nurse Practitioner | 7911 Detroit Ave, Cleveland, OH 44102-2815 | 2019-01-28 |
| 1679069330 | Meghan Baron | Nurse Practitioner | 10524 Euclid Ave Ste 185, Cleveland, OH 44106-2205 | 2018-07-06 |
| 1952804692 | Lashara Colvin | Nurse Practitioner | 2500 Metrohealth Dr Dept Of, Cleveland, OH 44109-1900 | 2018-03-08 |
| 1982051728 | Paige Ann Sullivan | Nurse Practitioner | 2700 Westside Dr Nw Ste 204, Cleveland, TN 37312 | 2016-05-23 |
| 1104206796 | Jeffrey Sims | Nurse Practitioner | 13402 Kinsman Rd, Cleveland, OH 44120-4410 | 2015-06-09 |
| 1760762405 | Kimberly Ann Sanders | Nurse Practitioner | 4269 Pearl Road, Cleveland, OH 44109 | 2011-08-25 |
| Find all providers in CLEVELAND | ||||
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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.