HEATHER WICKLUND (NPI# 1104437128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104437128 |
Entity Type | Individual |
Full Name | HEATHER WICKLUND |
Credential | NP |
Practice Address |
1626 Brookhouse Dr Unit 234 Sarasota FL 34231-8982 |
Practice Telephone | 4077182101 |
Mailing Telephone | 4077182101 |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 11008478 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1626 BROOKHOUSE DR UNIT 234 |
City | SARASOTA |
State | FL |
Zip Code | 34231-8982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194292581 | Vanessa M Carmody | Occupational Therapist | 3938 South Tamiami Trail, Sarasota, FL 34231 | 2018-10-24 |
1982100194 | Manasota Cares LLC | In Home Supportive Care | 1832 Bayonne St, Sarasota, FL 34231 | 2018-04-05 |
1992166003 | Szilvia Lorincz | Nurse Practitioner | 5626 Nutmeg Ave, Sarasota, FL 34231 | 2016-03-16 |
1427440684 | Sarasota Primary Care, LLC | Family Medicine | 3333 Clark Rd Ste 190, Sarasota, FL 34231 | 2015-02-25 |
1689062887 | Brian Suchan | Hearing Instrument Specialist | 4858 S. Tamiami Trail, Sarasota, FL 34231 | 2014-12-23 |
1235572108 | Re-align Exercise Therapy | Clinic/Center | 5210 Palos Verdes Dr, Sarasota, FL 34231 | 2013-04-10 |
1346580016 | Karen Lee Bechtold | Physical Therapist | 6553 Gulf Gate Pl Apt 248, Sarasota, FL 34231 | 2013-02-18 |
1356688956 | Julius Stone | Dermatology | 5430 Eagle's Point Circle, #103, Sarasota, FL 34231 | 2013-01-16 |
1033465034 | Melissa Berry | Occupational Therapist | 2140 Brueckner Drive, Sarasota, FL 34231 | 2012-07-27 |
1518233477 | Wigs and Hair Extensions of Sarasota Inc. | Durable Medical Equipment & Medical Supplies | 2412 Stickney Point Road, Sarasota, FL 34231 | 2012-03-26 |
Find all providers in zip 34231 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659988871 | Caleb Rose | Nurse Practitioner | 1852 Hillview St Ste 301, Sarasota, FL 34239-3638 | 2020-10-01 |
1043823214 | Rachelle Ann Kutzko | Nurse Practitioner | 3333 Cattlemen Rd Ste 106, Sarasota, FL 34232-6057 | 2020-08-28 |
1003428707 | Derek Jason Sisk | Nurse Practitioner | 3554 65th Avenue Cir E, Sarasota, FL 34243-4116 | 2020-08-24 |
1205460540 | Olga Nielsen | Nurse Practitioner | 1857 Oak Branch Dr, Sarasota, FL 34232-6658 | 2020-02-25 |
1194284737 | Lori-ann T Luer | Nurse Practitioner | 3245 Old Oak Dr, Sarasota, FL 34239-5020 | 2019-03-13 |
1881150555 | Steven Mazar | Nurse Practitioner | 5151 Old Ashwood Dr, Sarasota, FL 34233-3491 | 2019-02-18 |
1295204741 | Beth Robin Domino | Nurse Practitioner | 700 Cocoanut Ave Unit 326, Sarasota, FL 34236-5063 | 2018-11-14 |
1235634700 | Marathon Health LLC | Nurse Practitioner | 237 Payne Pkwy Unit 101, Sarasota, FL 34237-7018 | 2018-03-27 |
1861904567 | Linda Suzanne Martell | Nurse Practitioner | 8383 S. Tamiami Trail, Suite 115, Sarasota, FL 34238-3046 | 2017-11-02 |
1639699663 | Mark W. Phillips | Nurse Practitioner | 1 S School Ave Ste 200, Sarasota, FL 34237 | 2017-06-21 |
Find all providers in SARASOTA |
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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.